Individual
MS. DIANE LOUISE DETERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 880-4477
(773) 880-3254
Mailing address
1853 N NEWLAND AVE, CHICAGO, IL 60707-3306
(773) 880-4477
(773) 880-3254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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