Individual
ANNE KNIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 S WESTERN AVE, EVERGREEN PARK, IL 60805-2500
(708) 499-8110
(708) 499-8165
Mailing address
9605 S KILBOURN AVE, OAK LAWN, IL 60453-3209
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051295114
IL
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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