Individual
ELAINE TAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1931 W CERMAK RD, CHICAGO, IL 60608-4203
(773) 847-5781
Mailing address
1931 W CERMAK RD, CHICAGO, IL 60608-4203
(773) 847-5781
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288578
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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