Fedaa Ballouta

NPI #1649877895 in Posen, Illinois

Provider Information

NPI Number
1649877895
Entity Type
Individual
Name
Fedaa Ballouta
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 1, 2020
Last Updated
Oct 1, 2020

Practice Location

Address
3145 W 147TH ST
City
Posen
ZIP Code
60469-1438
Phone
(708) 385-8922

Specialties & Taxonomy Codes

Specialty
Pharmacist

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