Individual
ANN EMGE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2075 N LINCOLN AVE, CHICAGO, IL 60614-4536
(773) 549-0634
Mailing address
4240 N GREENVIEW AVE, CHICAGO, IL 60613-1208
(773) 528-6677
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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