Individual
DR. BRIAN SAN PEDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-3444
Mailing address
4052 N KIMBALL AVE, CHICAGO, IL 60618-3312
(773) 478-9681
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.294290
IL
Other
Enumeration date
01/20/2012
Last updated
10/01/2015
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