Provider Demographics
NPI:1598045098
Name:PARIKH, RANI D (PHARM D)
Entity Type:Individual
Prefix:
First Name:RANI
Middle Name:D
Last Name:PARIKH
Suffix:
Gender:F
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 1:4040 N CICERO AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-1807
Mailing Address - Country:US
Mailing Address - Phone:773-283-5321
Mailing Address - Fax:773-283-5785
Practice Address - Street 1:4040 N CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60641-1807
Practice Address - Country:US
Practice Address - Phone:773-283-5321
Practice Address - Fax:773-283-5785
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-292698183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist