Individual
TRACEY KNORP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 N WEBER RD, BOLINGBROOK, IL 60490-1505
(630) 679-6510
(630) 679-6565
Mailing address
2109 BUCKLEY CT, NAPERVILLE, IL 60565-4202
(630) 357-6023
(630) 679-6565
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051289043
IL
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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