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NPI Code Detail

MEDICARE: JINAL PATEL PHARMD

MEDICARE: JINAL PATEL PHARMD
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
1183500000XPharmacist051-294900IL

General Provider Information

NPI Number : 1750668679
Entity Type Code : Individual
Provider Name (Legal Business Name) : JINAL PATEL PHARMD
Provider Business Mailing Address
First Line : 19123 CREEKSIDE LN
Second Line :
City : MOKENA
State : IL
Zip : 60448-8227
Country : US
Telephone Number : 708-478-1805
Fax Number :
Provider Business Practice Location Address
First Line : 7209 W LINCOLN HWY
Second Line :
City : FRANKFORT
State : IL
Zip : 60423-6021
Country : US
Telephone Number : 815-464-8374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2011
Last Update Date : 11/06/2011

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Directions to “ JINAL PATEL PHARMD” Practice Location

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