| NPI | 1760656987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T MA Owner 312-420-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 051288705) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |