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Individual

REBECCA YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHARMACIST

Contact information

Practice address
1775 BALLARD RD, PARK RIDGE, IL 60068-1005
(847) 318-2676
Mailing address
1724 E PEACHTREE DR, ARLINGTON HEIGHTS, IL 60004-3426
(847) 894-4982

Taxonomy

Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051295701
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
051295701
IL DEPARTMENT OF FINCIAL AND PROFESSIONAL REGULATION (PHARMACIST LICENSE)
IL
Enumeration date
06/25/2018
Last updated
06/25/2018
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