Individual
EMILY ISONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 E WASHINGTON ST, EAST PEORIA, IL 61611-1861
(309) 698-3018
Mailing address
2540 E WASHINGTON ST, EAST PEORIA, IL 61611-1861
(309) 698-3018
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051301100
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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