47th and Vicennes Professional
47th and Vicennes Professional is a Clinic Pharmacy in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
504 E 47th StChicago, IL 60653-4208
Phone: (773) 624-0613
Fax: (773) 624-0204
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic Pharmacy (primary) | Taxonomy 3336C0002X · Licence 054014942 (IL) |
|---|
Record details
| NPI number | 1942416938 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Zarooq Sabayo — Pharmcist · (773) 624-0613 |
| NPI enumerated | May 15, 2007 |
| Last updated in NPPES | June 18, 2008 |
| Mailing address | 504 - 506 E 47th St, Chicago, IL 60653-4208 |
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