Individual
MRS. ALEXANDRA SUVAJLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3611 E 106TH ST, CHICAGO, IL 60617-6610
(773) 978-1988
(773) 978-4325
Mailing address
3611 E 106TH ST, CHICAGO, IL 60617-6610
(773) 978-1988
(773) 978-4325
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-36996
IL
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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