Individual
JASEN HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1751 W DIEHL RD STE 110, NAPERVILLE, IL 60563-4912
(855) 264-7763
Mailing address
1830 S MICHIGAN AVE UNIT C, CHICAGO, IL 60616-1622
(312) 404-0321
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051289561
IL
Other
Enumeration date
12/16/2020
Last updated
05/03/2022
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