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NPI Code Detail

MEDICARE: DEVAL PATEL PHARM D

MEDICARE: DEVAL PATEL PHARM D
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
1183500000XPharmacist051-1291304IL

General Provider Information

NPI Number : 1770863359
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVAL PATEL PHARM D
Provider Business Mailing Address
First Line : 4748 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-4640
Country : US
Telephone Number : 773-745-6642
Fax Number : 773-745-7350
Provider Business Practice Location Address
First Line : 4748 W NORTH AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60639-4640
Country : US
Telephone Number : 773-745-6642
Fax Number : 773-745-7350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2011
Last Update Date : 08/26/2011

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Directions to “ DEVAL PATEL PHARM D” Practice Location

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