Individual
DINH QUE HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1991 S BRIDGE ST, YORKVILLE, IL 60560-9851
(630) 553-6112
Mailing address
1828 LAUREL AVE, EVANSTON, IL 60201-3327
(224) 210-0778
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.302814
IL
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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