Individual
CAN XIONG LAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
250 W 25TH PL, CHICAGO, IL 60616-2221
(312) 493-9550
Mailing address
501 W ROOSEVELT RD, CHICAGO, IL 60607-4908
(312) 493-9550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295199
IL
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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