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Organization
LAWRENCE HOUSE
Active
Organization
LAWRENCE HOUSE
Active
Parent organization
STATE OF ILLINOIS
Other names
Pharmacist
Organization subpart
Yes
Provider details
NPI number
Legal business name
STATE OF ILLINOIS
Authorized official
MR. JOHN F O'SULLIVAN RPH (PHARMACIST)
(630) 649-0027
Entity
Organization
Contact information
Practice address
1001 W LAWRENCE AVE, CHICAGO, IL 60640-5017
(773) 561-2288
Mailing address
5953 OAKWOOD DR, LISLE, IL 60532-3011
(630) 649-0027
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
051033099
IL
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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