Individual
DR. CRYSTAL IBEABUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1818 E WINDSOR RD, URBANA, IL 61802-9566
(708) 255-9693
Mailing address
3852 W 86TH PL, CHICAGO, IL 60652-3722
(773) 886-5086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051299825
IL
Other
Enumeration date
10/27/2020
Last updated
06/27/2022
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