Individual
DR. IHEANYI SAMUEL UFOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
6330 S KING DR, CHICAGO, IL 60637-3115
(773) 324-8500
Mailing address
4709 ABBEY LN, MATTESON, IL 60443-1894
(708) 747-1678
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL051289472
IL
Other
Enumeration date
11/06/2011
Last updated
11/06/2011
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