Individual
JENNIFER THUYVY TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-5110
Mailing address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
R19349
OK
1835P1300X
Psychiatric Pharmacist
Primary
R19349
OK
Other
Enumeration date
08/27/2021
Last updated
05/05/2026
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