Provider Demographics
NPI:1932976503
Name:CHAHAL, BHUPINDER JEET SINGH (PHARMD)
Entity Type:Individual
Prefix:
First Name:BHUPINDER JEET
Middle Name:SINGH
Last Name:CHAHAL
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 1:367 CRESCENT DR
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-4919
Mailing Address - Country:US
Mailing Address - Phone:314-600-7233
Mailing Address - Fax:
Practice Address - Street 1:1515 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1822
Practice Address - Country:US
Practice Address - Phone:847-251-6223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-05
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051306029183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist