Individual
MARISSA MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-6820
Mailing address
2907 N DAMEN AVE UNIT 2, CHICAGO, IL 60618-8425
(630) 209-1379
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051.295690
IL
Other
Enumeration date
08/09/2012
Last updated
08/10/2023
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