Provider Demographics
NPI:1659964914
Name:PATEL, ALKESH P (RPH)
Entity Type:Individual
Prefix:
First Name:ALKESH
Middle Name:P
Last Name:PATEL
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 1:1300 SNOWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:WEST CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60185-5965
Mailing Address - Country:US
Mailing Address - Phone:630-890-1792
Mailing Address - Fax:630-978-3075
Practice Address - Street 1:300 N EOLA RD
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60502-9062
Practice Address - Country:US
Practice Address - Phone:630-978-2380
Practice Address - Fax:630-978-3075
Is Sole Proprietor?:No
Enumeration Date:2021-02-18
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.289602183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist