Individual
JERRY TUAZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
2210 W 95TH ST, CHICAGO, IL 60643-1002
(773) 341-3500
(773) 341-3501
Mailing address
2210 W 95TH ST, CHICAGO, IL 60643-1002
(773) 341-3500
(773) 341-3501
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295954
IL
Other
Enumeration date
08/15/2012
Last updated
01/21/2019
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