Individual
DR. ANNETTE CHRISTINE KOSSIFOLOGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
EDWARD HINES JR. VAMC, FIFTH AVENUE AND ROOSEVELT ROAD, BUILDING 200 ROOM B 128 H, PHARMACY SERVICE (119), HINES, IL 60141
(708) 202-8387
Mailing address
211 LONGRIDGE DR, BLOOMINGDALE, IL 60108-1417
(708) 421-1772
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.291357
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
051291357
IL
Other
Enumeration date
09/15/2006
Last updated
11/08/2023
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