Provider Demographics
NPI:1104917772
Name:PATEL, HITESH (PHARM D)
Entity type:Individual
Prefix:
First Name:HITESH
Middle Name:
Last Name:PATEL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1925 LISSON RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-2940
Mailing Address - Country:US
Mailing Address - Phone:847-845-3493
Mailing Address - Fax:630-910-8220
Practice Address - Street 1:1925 LISSON RD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60565-2940
Practice Address - Country:US
Practice Address - Phone:847-845-3493
Practice Address - Fax:630-910-8220
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist