Individual
COURTNEY JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
15850 S 94TH AVE, ORLAND PARK, IL 60462-4725
(708) 349-1383
Mailing address
1014 S MAY ST, UNIT #1W, CHICAGO, IL 60607-4231
(330) 360-2446
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033285493
OH
183500000X
Pharmacist
051295414
IL
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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