ODESSA G UBONGEN

EVANSTON, IL
NPI1700210457
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051296986)
Enumeration Date2013-08-29
Last Update Date2013-08-29
Business Address
-- ODESSA G UBONGEN
1910 DEMPSTER ST
EVANSTON, IL 60202-1016
Phone number: 847-866-9233
Mailing Address
-- ODESSA G UBONGEN
8804 BRIAR CT APT 2A
DES PLAINES, IL 60016-5414
Phone number:
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