Individual
ANDREW LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2940 N ASHLAND AVE, CHICAGO, IL 60657-4004
(773) 348-4155
(773) 348-0413
Mailing address
2940 N ASHLAND AVE, CHICAGO, IL 60657-4004
(773) 348-4155
(773) 348-0413
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287880
IL
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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