Michiao E Chai

NPI #1912502618 in Rockford, Illinois

Provider Information

NPI Number: 1912502618
Entity Type: Individual
Name: Michiao E Chai
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Dec 1, 2020
Last Updated: Dec 1, 2020

Practice Location

Address: 3902 W RIVERSIDE BLVD
City: Rockford
State: Illinois
ZIP Code: 61101-9507
Phone: (815) 962-4763

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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