Individual
ISSIA E JUDEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
117 W MOUNT VERNON ST, METAMORA, IL 61548-7000
(309) 367-9701
Mailing address
5505 N SHERIDAN RD, PEORIA, IL 61614-4263
(708) 374-4608
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.298827
IL
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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