Individual
DR. GIDEON IFIANAYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PHARMD
Contact information
Practice address
8556 SKOKIE BLVD, SKOKIE, IL 60077-2377
(847) 275-8539
Mailing address
PO BOX 4521, SKOKIE, IL 60076-4521
(847) 275-8539
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.300200
IL
Other
Enumeration date
07/08/2020
Last updated
09/16/2020
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