Individual
MARIBEL GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2656 N ELSTON AVE, CHICAGO, IL 60647-2019
(773) 252-1994
Mailing address
2656 N ELSTON AVE, CHICAGO, IL 60647-2019
(773) 252-2210
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049209788
IL
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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