Individual
DR. ELIZABETH ELEANOR REID-TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
5222 W. MADISON AVENUE, CHICAGO, IL 60644
(773) 287-0380
Mailing address
1094 CRESTWOOD COURT, BOLINGBROOK, IL 60440
(630) 679-9594
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-287978
IL
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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