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Individual

MR. ENYIOMA E ONYEOBIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.PHARM

Contact information

Practice address
18301 PULASKI AVE, HAZEL CREST, IL 60429-2495
(708) 335-4180
Mailing address
18301 PULASKI AVE, HAZEL CREST, IL 60429-2495
(708) 335-4180

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293136
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362127039928
IL
Enumeration date
09/11/2011
Last updated
09/11/2011
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