Individual
ELLEN HORNICKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6277
Mailing address
4448 N SPAULDING AVE, CHICAGO, IL 60625-5406
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290434
IL
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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