Individual
DR. HEATH RANDEL JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5841 S MARYLAND AVE, MC0010 TE026, CHICAGO, IL 60637-1447
(773) 702-5377
(773) 702-6631
Mailing address
5841 S MARYLAND AVE, MC0010 TE026, CHICAGO, IL 60637-1447
(773) 702-5377
(773) 702-6631
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
011558
KY
1835P1200X
Pharmacotherapy Pharmacist
Primary
051292467
IL
Other
Enumeration date
12/22/2006
Last updated
08/21/2008
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