Individual
DR. ANDREA GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5640 211TH ST, MATTESON, IL 60443-1503
(708) 720-2036
Mailing address
7379 WINCHESTER LN, SCHERERVILLE, IN 46375-1776
(708) 508-2048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290366
IL
Other
Enumeration date
10/30/2011
Last updated
10/30/2011
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