111TH PHARMA-FAMILY

NPI # 

Practice Address:

11101 S State St

Chicago, IL, 60628-4206

Practice Phone:

708-503-9845

License Number:

051035317

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Health Service

Taxonomy Code:

261QH0100X

Updated by NPPES on 12/10/2012. You can view the original data set for NPI # 1659616175 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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111TH PHARMA-FAMILY's

CMS CPT® coding data

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111TH PHARMA-FAMILY's

CMS prescription data

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