Individual
GLORIA SUDBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3405 S KING DR, CHICAGO, IL 60616-4108
(312) 326-4058
Mailing address
PO BOX 806117, CHICAGO, IL 60680-4122
(773) 425-2802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.288604
IL
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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