Individual
SHELLEE A GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
1740 W TAYLOR ST, ROOM C300, CHICAGO, IL 60612-7232
(312) 996-3663
(312) 413-4146
Mailing address
833 S WOOD ST, ROOM 164 MC 886, CHICAGO, IL 60612-7229
(312) 996-0870
(312) 996-0379
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
012149
KY
183500000X
Pharmacist
PH00040273
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
051.289617
IL
Other
Enumeration date
11/01/2006
Last updated
10/06/2008
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