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Individual

ANNA P LAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3145 S ASHLAND AVE, CHICAGO, IL 60608-6251
(773) 247-3394
(773) 247-4159
Mailing address
711 JORIE BLVD, OAK BROOK, IL 60523-4425

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
363168270100
IL
Enumeration date
04/03/2007
Last updated
09/05/2007
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