| NPI | 1295289015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVENDRA R DOSHI Pharmacy Manager 847-378-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: IL 049032218) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2016-08-10 |