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Individual

DR. ISHAQ LAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
5841 S MARYLAND AVE, MC 0010, CHICAGO, IL 60637-1447
(773) 834-1599
Mailing address
5841 S MARYLAND AVE, MC 0010, CHICAGO, IL 60637-1447

Taxonomy

Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051291502
IL

Other

Enumeration date
08/24/2009
Last updated
08/24/2009
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