Individual
JASON MEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
501 W 24TH PL APT 311, CHICAGO, IL 60616-1871
(312) 927-8870
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
051300434
IL
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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