| NPI | 1811902455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATYA RAO Dir Of Phcy 847-695-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy (Licence: IL 54013758) |
| Additional Taxonomies | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |