Jill Brak
Pharmacy Technician in Chicago, IL. Individual provider (NPI-1).
NPI number1306418413
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1306418413
- Entity type
- Individual (NPI-1)
- Name
- Jill Brak
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183700000X | Pharmacy Technician | – | – | Yes |
Practice location
740 W Diversey PkwyChicago, IL 60614-1550
Phone 773-929-1097
Mailing address
3433 N Leavitt StChicago, IL 60618-6013
Phone 773-332-5038
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