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Individual

MR. JOHNNIE W SEWARD III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2011 E. 95TH ST., CHICAGO, IL 60617
(773) 731-9663
(773) 731-4761
Mailing address
9037 S. CONSTANCE AVE, CHICAGO, IL 60617-3530
(312) 206-8126
(773) 731-4761

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051039723
IL

Other

Enumeration date
01/27/2012
Last updated
01/27/2012
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