Provider Demographics
NPI:1164417291
Name:BHAVSAR, SNEHAL K (RPH)
Entity Type:Individual
Prefix:MR
First Name:SNEHAL
Middle Name:K
Last Name:BHAVSAR
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2044 SCHUMACHER DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1929
Mailing Address - Country:US
Mailing Address - Phone:630-428-4092
Mailing Address - Fax:312-791-9650
Practice Address - Street 1:3201 S WALLACE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60616-3501
Practice Address - Country:US
Practice Address - Phone:312-791-9000
Practice Address - Fax:312-791-9650
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-286267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist