Individual
MS. JULIE ROUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5524 W CERMAK RD, CICERO, IL 60804-2217
(708) 656-0306
Mailing address
1800 W ROSCOE ST APT 220, CHICAGO, IL 60657-1072
(773) 320-3253
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287127
IL
Other
Enumeration date
12/22/2020
Last updated
12/22/2020
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