Individual
MISS CAROLINE IEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2301 W IRVING PARK RD, CHICAGO, IL 60618-3823
(773) 267-8410
Mailing address
2301 W IRVING PARK RD, CHICAGO, IL 60618-3823
(773) 267-8410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294149
IL
Other
Enumeration date
10/31/2011
Last updated
05/24/2014
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