Individual
JULIE MATEJKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3798 S WESTERN AVE, CHICAGO, IL 60609-1014
(773) 254-6383
Mailing address
6 S LAFLIN ST, #818, CHICAGO, IL 60607-2433
(312) 491-0178
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-287277
IL
Other
Enumeration date
08/28/2011
Last updated
08/28/2011
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