Individual
JENNIFER MARCELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
29W305 NATIONAL ST, WEST CHICAGO, IL 60185-2161
(630) 956-0727
Mailing address
29W305 NATIONAL ST, WEST CHICAGO, IL 60185-2161
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299674
IL
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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