Koottanal, Dileep

Koottanal, Dileep is an individual health care provider with primary practice located at 2253 N Richmond Rd , Mchenry IL 60051-5401. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Koottanal, Dileep can be contacted via phone (815) 578-9710.

Contact Information

Primary practice address
2253 N Richmond Rd Mchenry IL 60051-5401
Phone: (815) 578-9710
Fax: (815) 578-9765
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051.295688 Illinois

Profile Details

NPI number 1134539869
LBN Legal business name Koottanal, Dileep
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2014
Last updated May 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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