Provider Demographics
NPI:1346559259
Name:PARIKH, JYOTIN G (RPH)
Entity type:Individual
Prefix:MR
First Name:JYOTIN
Middle Name:G
Last Name:PARIKH
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6326 S ASHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60636-2725
Mailing Address - Country:US
Mailing Address - Phone:773-776-1794
Mailing Address - Fax:773-776-8588
Practice Address - Street 1:6326 S ASHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60636-2725
Practice Address - Country:US
Practice Address - Phone:773-776-1794
Practice Address - Fax:773-776-8588
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0510033070183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist