Individual
COLLEEN KAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2345 W 103RD ST, CHICAGO, IL 60643-2423
(773) 429-0767
Mailing address
2345 W 103RD ST, CHICAGO, IL 60643-2423
(773) 429-0767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296976
IL
Other
Enumeration date
08/21/2020
Last updated
08/21/2020
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