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Individual

JEREMY STEVEN DELOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 355-3031
Mailing address
215 N ABERDEEN ST UNIT 307A, CHICAGO, IL 60607-1628
(248) 930-8521

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302461
IL
1835P1200X
Pharmacotherapy Pharmacist
051302461
IL
1835P2201X
Ambulatory Care Pharmacist
10874003-1701
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051302461
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
01/17/2021
Last updated
02/03/2021
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