Individual
BREANNE MARIE KNIGHTLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
17113 HARLEM AVE, TINLEY PARK, IL 60477-3369
(708) 532-7477
(708) 532-7391
Mailing address
10401 S CENTRAL PARK AVE, CHICAGO, IL 60655-3111
(773) 633-5354
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.303980
IL
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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