Individual
CHRISTINA ADRIANA MAGNABOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
101 ASBURY AVE, EVANSTON, IL 60202-3801
(847) 905-3300
Mailing address
9617 KILDARE AVE, SKOKIE, IL 60076-1148
(773) 569-9893
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299642
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051299642
IL LICENSE
IL
05
—
051299642
—
IL
Enumeration date
11/21/2020
Last updated
11/21/2020
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