Individual
JENNIFER UTTERBACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2551 W CERMAK RD, CHICAGO, IL 60608-3719
(773) 475-4546
Mailing address
207 WILLARD PL, WESTMONT, IL 60559-1450
(630) 396-0055
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297811
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051297811
PHARMACIST LICENSE
IL
Enumeration date
04/14/2020
Last updated
04/14/2020
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