Individual
JENNIFER SULAIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAIN ST NW, BOURBONNAIS, IL 60914-2303
(815) 929-0590
Mailing address
655 MAIN ST NW, BOURBONNAIS, IL 60914-2303
(815) 929-0590
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299279
IL
Other
Enumeration date
02/22/2016
Last updated
07/12/2023
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