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NPI Code Detail

MEDICARE: DR. URSULA C PATEL PHARMD, BCIDP, BCPS

MEDICARE:  DR. URSULA C PATEL  PHARMD, BCIDP, BCPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835I0206XInfectious Diseases Pharmacist051289007IL

General Provider Information

NPI Number : 1376647768
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. URSULA C PATEL PHARMD, BCIDP, BCPS
Provider Business Mailing Address
First Line : 422 RIDGEMOOR DR
Second Line :
City : WILLOWBROOK
State : IL
Zip : 60527-5419
Country : US
Telephone Number : 847-722-2258
Fax Number :
Provider Business Practice Location Address
First Line : 5000 S 5TH AVE
Second Line :
City : HINES
State : IL
Zip : 60141-3030
Country : US
Telephone Number : 708-202-8387
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 11/09/2023

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