Individual
EMMANUEL AMPONSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 S LAKE PARK AVE APT 313, CHICAGO, IL 60653-1564
(708) 253-5263
Mailing address
3500 S LAKE PARK AVE APT 313, CHICAGO, IL 60653-1564
(708) 253-5263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030423A
IN
Other
Enumeration date
02/09/2024
Last updated
02/09/2024
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