Provider Demographics
NPI:1891072336
Name:PATEL, HARDIK S (PHARM D)
Entity Type:Individual
Prefix:
First Name:HARDIK
Middle Name:S
Last Name:PATEL
Suffix:
Gender:M
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 1:982 ROYAL GLEN LN
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-2961
Mailing Address - Country:US
Mailing Address - Phone:630-915-1385
Mailing Address - Fax:
Practice Address - Street 1:982 ROYAL GLEN LN
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-2961
Practice Address - Country:US
Practice Address - Phone:630-915-1385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-11
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294661183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist