Individual
CRYSTAL HUONG LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1224 S WABASH AVE, CHICAGO, IL 60605-2401
(312) 664-4646
Mailing address
5835 N JERSEY AVE, CHICAGO, IL 60659-3617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289357
IL
Other
Enumeration date
10/11/2012
Last updated
10/11/2012
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