Individual
ANDREA RUPNIEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
990 N KINZIE AVE, BRADLEY, IL 60915-1233
(815) 932-9977
Mailing address
PO BOX 141, 17355 STATELINE RD, RUSSELL, IL 60075-0141
(847) 840-1664
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296171
IL
Other
Enumeration date
08/27/2013
Last updated
08/27/2013
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