Individual
JACQUELINE MARY KNIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
11000 S CICERO AVE, OAK LAWN, IL 60453-5504
(708) 346-0698
Mailing address
10448 S SPRINGFIELD AVE, CHICAGO, IL 60655-3714
(773) 633-7460
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049.221869
IL
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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