Individual
PROF. JUDITH ANN HOLLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
259 LAKE ST, OAK PARK, IL 60302-2636
(708) 524-1736
Mailing address
5352 N MOODY AVE, CHICAGO, IL 60630-1049
(773) 775-3829
(773) 775-3829
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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