Individual
JENNIFER L BORGESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11100 S. CICERO AVE, KMART PHARMACY, OAK LAWN, IL 60453
(708) 424-6671
Mailing address
19051 HILLCREST DR, MOKENA, IL 60448-8672
(815) 485-4531
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.286722
IL
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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