Individual
DEBORAH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15575 E 127TH ST, LEMONT, IL 60439-4433
(630) 257-9250
Mailing address
16047 W RED CLOUD DR, LOCKPORT, IL 60441-4597
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287881
IL
Other
Enumeration date
09/02/2011
Last updated
09/02/2011
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