| NPI | 1891013306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARPAN J PATEL Owner 847-519-4701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 036120219) |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2011-03-01 |