Dr. Jennifer Gautam
Dr. Jennifer Gautam is a Pharmacist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2020.
- Licensed in
- IL
- In the registry since
- 2020
Practice location Address checks out
5205 N Broadway StChicago, IL 60640-2303
Phone: (773) 275-5641
Fax: (773) 275-7324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence 051299655 (IL) |
|---|
Record details
| NPI number | 1306433750 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 30, 2020 |
| Last updated in NPPES | December 30, 2020 |
| Certification date | December 30, 2020 |
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