Individual
EDWIN LE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4660 W IRVING PARK RD, CHICAGO, IL 60641-2888
(773) 202-0072
Mailing address
2821 W JEROME ST, CHICAGO, IL 60645-1230
(773) 860-5545
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303605
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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