Individual
DR. CORNETTA R LEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
4357 S INDIANA AVE APT 3, CHICAGO, IL 60653-4717
(515) 710-3449
(773) 855-2035
Mailing address
4357 S INDIANA AVE APT 3, CHICAGO, IL 60653-4717
(515) 710-3449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292239
IL
Other
Enumeration date
11/10/2011
Last updated
11/10/2011
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