Individual
DR. BENJAMIN A TASSONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3798 S WESTERN AVE, CHICAGO, IL 60609-1014
(773) 254-6383
(773) 254-9632
Mailing address
5359 S NORDICA AVE, CHICAGO, IL 60638-1017
(312) 607-0041
(773) 254-9632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037519
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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