Individual
BETTY N INGENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMACIST
Contact information
Practice address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 278-6604
(773) 395-4633
Mailing address
3153 W FULLERTON AVE, CHICAGO, IL 60647-2809
(773) 278-6604
(773) 395-4633
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
355363043002
—
IL
Enumeration date
03/18/2007
Last updated
07/08/2007
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