Individual
MS. JEANNETTE BRUCKS ASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
100 N RIVER RD, DES PLAINES, IL 60016-1209
(847) 581-0800
(847) 410-4910
Mailing address
3863 N OTTAWA AVE, CHICAGO, IL 60634-2126
(773) 625-8238
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-030885
IL
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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