Individual
JENNY ROSILLO MACASO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11600 S KEDZIE AVE, MERRIONETTE PARK, IL 60803-6307
(708) 389-5300
Mailing address
11600 S KEDZIE AVE STE E, MERRIONETTE PARK, IL 60803-6308
(708) 389-5300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051300099
REGISTERED PHARMACIST
IL
Enumeration date
03/21/2018
Last updated
03/21/2018
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