Individual
MRS. GINA CONDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
5690 E STATE ST, ROCKFORD, IL 61108-2425
(815) 395-1828
Mailing address
3300 PLUM GROVE DR, ROLLING MEADOWS, IL 60008-3244
(773) 844-2307
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296149
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.296149
STATE OF ILLINOIS PHARMACIST LICENSE NUMBER
IL
Enumeration date
12/26/2012
Last updated
12/26/2012
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