Organization
SOUTH SIDE PHARMACY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY DIORIO (VICE PRESIDENT)
(815) 834-0020
Entity
Organization
Contact information
Practice address
6905 S WENTWORTH AVE, CHICAGO, IL 60621-3734
(773) 723-2500
Mailing address
6905 S WENTWORTH AVE, CHICAGO, IL 60621-3734
(773) 723-2500
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
IL
3336C0003X
Community/Retail Pharmacy
—
IL
Other
Enumeration date
05/31/2006
Last updated
09/11/2025
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