NPI 1023408648

Brian Simons

Practitioner Pharmacy Technician Chicago, IL

Practice location

Address: 8560 S Cottage Grove Ave, Chicago, IL 60619-6116
Phone: (773) 371-8556
Fax: (773) 371-8546

Registered specialties

Pharmacy Technician Primary

Pharmacy Service Providers Taxonomy 183700000X Licence 049.196878 (IL)

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Registry record

NPI: 1023408648
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Feb 2015
Record last updated: 3 Feb 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.