Individual
JANIS CONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1550 WEST CORNELIA AVE, 203, CHICAGO, IL 60657
(585) 899-9638
Mailing address
1550 W CORNELIA AVE APT 203, CHICAGO, IL 60657-3106
(585) 899-9638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299617
IL
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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