Michelle Gosa

NPI #1114296415 in Broadview, Illinois

Provider Information

NPI Number: 1114296415
Entity Type: Individual
Name: Michelle Gosa
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 16, 2011
Last Updated: Jun 16, 2014

Practice Location

Address: 2329 S 24TH AVE
City: Broadview
State: Illinois
ZIP Code: 60155-3822
Phone: (708) 223-8848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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