Individual
JENNIFER AMALIDOSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1780 WALL ST, MOUNT PROSPECT, IL 60056-5790
(847) 264-7100
Mailing address
1781 TREVINO CIR, BOLINGBROOK, IL 60490-6603
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051302925
IL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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