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1679858104
VICKI K FONG
CHICAGO, IL
NPI
1679858104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IL 051.036154)
Enumeration Date
2011-10-16
Last Update Date
2011-10-16
Business Address
-- VICKI K FONG rph
316 W CERMAK RD
CHICAGO, IL 60616-1916
Phone number: 312-791-0392
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Mailing Address
-- VICKI K FONG rph
228 W ALEXANDER ST
CHICAGO, IL 60616-1910
Phone number: 312-842-1680
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