Individual
BASSIMA M JALLOUL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 KIRK RD, AURORA, IL 60502-6015
(630) 375-6305
Mailing address
3308 ROSECROFT LN, NAPERVILLE, IL 60564-4868
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
051286953
IL
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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