Provider Demographics
NPI:1003407453
Name:DOSHI, DEVENDRA R (PHARMACIST)
Entity type:Individual
Prefix:MR
First Name:DEVENDRA
Middle Name:R
Last Name:DOSHI
Suffix:
Gender:M
Credentials:PHARMACIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3624 LIBERTY LN
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60025-3720
Mailing Address - Country:US
Mailing Address - Phone:847-830-3292
Mailing Address - Fax:
Practice Address - Street 1:727 W GOLF RD
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-2414
Practice Address - Country:US
Practice Address - Phone:847-378-1052
Practice Address - Fax:847-378-0993
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-28
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032218183500000X
IL049032218183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty