institution
111th Pharma-family
Health Service Clinic/Center in Chicago, Illinois
NPI 1659616175

111th Pharma-family is a Health Service Clinic/Center based in Chicago, IL and is specialized in Health Service. 111th Pharma-family practices in Chicago, IL. The NPI Number for 111th Pharma-family is 1659616175 and holds a License No. 051035317 (Illinois).

The current practice location address for 111th Pharma-family is 11101 S State St, Chicago, IL and can be reached out via phone at 708-503-9845.

Location: 11101 S State St, Chicago, IL, 60628-4206
institution
Provider Profile Details
NPI Number
1659616175
Provider Name
111th Pharma-family
Credential
Provider Entity Type
Organization
Address
11101 S State St, Chicago, IL, 60628-4206
Phone Number
708-503-9845
Fax Number
Provider Enumeration Date
12/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11101 S State St
City
State
Zip
60628-4206
Phone Number
708-503-9845
Fax Number
person
Provider Business Mailing Address Details
Address
11101 S State St
City
State
Zip
60628-4206
Phone Number
708-503-9845
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
License No.
051035317 (Illinois)
Definition
Definition to come...
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