Provider Demographics
NPI:1487963641
Name:ZALA, HIREN K
Entity type:Individual
Prefix:
First Name:HIREN
Middle Name:K
Last Name:ZALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 E COUNCIL TRL
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3931
Mailing Address - Country:US
Mailing Address - Phone:847-691-6805
Mailing Address - Fax:
Practice Address - Street 1:503 E COUNCIL TRL
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-3931
Practice Address - Country:US
Practice Address - Phone:847-691-6805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0512862651835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy