Individual
JOANNA URBAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8400 W NORTH AVE, MELROSE PARK, IL 60160-1607
(708) 397-2905
Mailing address
1713 W PHEASANT TRL, MT PROSPECT, IL 60056-4554
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051296216
IL
Other
Enumeration date
10/17/2012
Last updated
12/06/2024
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