Individual
THOMAS GEORGE CHRISTENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 943-2224
Mailing address
5836 W 54TH PL, CHICAGO, IL 60638-2707
(773) 585-2357
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
051286264
IL
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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