Individual
MRS. MANJIRI MIRIAM MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D, BCPS
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4652
(224) 610-3751
Mailing address
2114 WINCHESTER LN, GLENVIEW, IL 60026-5748
(847) 721-4171
(866) 367-3770
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051290870
IL
Other
Enumeration date
01/14/2014
Last updated
03/13/2023
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