Individual
MS. CHRISTINE ELEONORE TIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5065 HONONEGAH RD, ROSCOE, IL 61073-8682
(815) 623-5079
Mailing address
5065 HONONEGAH RD, ROSCOE, IL 61073-8682
(815) 623-5079
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040470
IL
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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