Individual
JILL BRAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
740 W DIVERSEY PKWY, CHICAGO, IL 60614-1550
(773) 929-1097
Mailing address
3433 N LEAVITT ST, CHICAGO, IL 60618-6013
(773) 332-5038
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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