| NPI | 1093097040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA KNOLL Vice President Of Operations 312-926-6147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: IL 036095919) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |