Individual
QUINTET NYESSIE MCKINLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
12290 S PULASKI RD, ALSIP, IL 60803-1405
(708) 385-2006
Mailing address
16820 TRAPET AVE, HAZEL CREST, IL 60429-1318
(708) 803-1126
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
049243907
IL
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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