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Individual

MS. ROBERTA HUNTER ZICCARELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RPH

Contact information

Practice address
8700 W BRYN MAWR AVE STE 700N, CHICAGO, IL 60631-3509
(773) 632-1685
Mailing address
1725 TALLGRASS LN, LAKE FOREST, IL 60045-4858
(847) 773-6321

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051-036405
IL

Other

Enumeration date
12/09/2009
Last updated
12/09/2009
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