Provider Demographics
NPI:1356625602
Name:PARIKH, RAKESH (RPH)
Entity type:Individual
Prefix:MR
First Name:RAKESH
Middle Name:
Last Name:PARIKH
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 1:4225 W ARMITAGE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60639-3617
Mailing Address - Country:US
Mailing Address - Phone:773-235-1123
Mailing Address - Fax:773-235-1548
Practice Address - Street 1:4225 W ARMITAGE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60639-3617
Practice Address - Country:US
Practice Address - Phone:773-235-1123
Practice Address - Fax:773-235-1548
Is Sole Proprietor?:No
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051032196183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist