Individual
DIANE FEARNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8001 LINCOLN AVE, SUITE 800, SKOKIE, IL 60077-3695
(847) 588-7170
(847) 588-7060
Mailing address
8001 LINCOLN AVE, SUITE 800, SKOKIE, IL 60077-3695
(847) 588-7170
(847) 588-7060
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202004334
VA
Other
Enumeration date
06/19/2014
Last updated
06/19/2014
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