Individual
ANENE DIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 W ROOSEVELT RD, CHICAGO, IL 60624-4339
(773) 542-1232
Mailing address
740 S EAST AVE, OAK PARK, IL 60304-1326
(708) 358-1666
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040159
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063427227
—
IL
05
—
IL
—
IL
Enumeration date
01/18/2012
Last updated
01/18/2012
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