Individual
DR. JOSEPH EDGAR NIETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3303 W 26TH ST STE 101, CHICAGO, IL 60623-4036
(773) 521-1718
(773) 521-4052
Mailing address
3303 W 26TH ST STE 101, CHICAGO, IL 60623-4036
(773) 521-1718
(773) 521-4052
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295894
IL
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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