Individual
AMANDA E GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
14169 S BELL RD, HOMER GLEN, IL 60491-8464
(708) 645-5810
Mailing address
14169 S BELL RD, HOMER GLEN, IL 60491-8464
(708) 645-5810
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051294791
IL
Other
Enumeration date
05/01/2014
Last updated
07/13/2015
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