Individual
PROF. KAWTHER ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6425 BENTLEY AVE, WILLOWBROOK, IL 60527-1830
(630) 887-6393
Mailing address
6425 BENTLEY AVE, WILLOWBROOK, IL 60527-1830
(630) 887-6393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294503
IL
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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