Individual
CONNIE LAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1282 CRYSTAL SHORE DR, CAROL STREAM, IL 60188-6096
(630) 372-6529
Mailing address
1282 CRYSTAL SHORE DR, CAROL STREAM, IL 60188-6096
(630) 372-6529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297937
IL
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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