Promedix

NPI #1083492169 in Chicago, Illinois

Provider Information

NPI Number: 1083492169
Entity Type: Organization
Organization Name: Promedix
Primary Specialty: Pharmacist
Enumeration Date: Sep 19, 2023
Last Updated: Sep 19, 2023

Practice Location

Address: 11422 S WESTERN AVE STE 101
City: Chicago
State: Illinois
ZIP Code: 60643-4120
Phone: (773) 941-5968

Authorized Official

Name: NATHAN M SMITH
Title: BILLER
Phone: (810) 358-8749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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