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Henrietta Ivy
NPI 1275915571 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5575 Chapel Hl
Gurnee, IL 60031 - Phone
- (847) 855-8106
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-06-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois