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Individual

DR. MICHAEL IGNATOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, BCACP

Contact information

Practice address
2100 W HARRISON ST, CHICAGO, IL 60612-3706
(708) 940-2982
Mailing address
2100 W HARRISON ST, CHICAGO, IL 60612-3706

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
051297797
IL
1835P2201X
Ambulatory Care Pharmacist
Primary
051297797
IL

Other

Enumeration date
08/18/2014
Last updated
09/20/2022
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