Individual
BENJAMIN K NG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4345 N WESTERN AVE, CHICAGO, IL 60618-1621
(773) 561-1280
(773) 561-8025
Mailing address
4345 N WESTERN AVE, CHICAGO, IL 60618-1621
(773) 561-1280
(773) 561-8025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
363805221001
—
IL
Enumeration date
12/23/2006
Last updated
07/08/2007
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