Provider Demographics
NPI:1619213543
Name:JHOBALIA, NEEL SUNIL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NEEL
Middle Name:SUNIL
Last Name:JHOBALIA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 CHERRYTREE AVE
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1733
Mailing Address - Country:US
Mailing Address - Phone:630-963-0554
Mailing Address - Fax:
Practice Address - Street 1:912 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-7679
Practice Address - Country:US
Practice Address - Phone:773-665-8990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-20
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295893183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist