Individual
ALBERT HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 W CHICAGO AVE, CHICAGO, IL 60622-5128
(312) 829-6186
Mailing address
1650 W CHICAGO AVE, CHICAGO, IL 60622-5128
(312) 829-6186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL051035437
IL
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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