Teri Renee Belisle PHARMD, RD, LDN

NPI 1205024064 - Pharmacist - 183500000X

NPI Details
NPI 1205024064
Gender Female
Enumeration Date 10/05/2007
Last Updated 04/28/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1725 W HARRISON ST
STE 418
CHICAGO IL, 60612-3841, US
Phone (312) 563-3417
Fax
Business Location
4724 N BEACON ST
3E
CHICAGO IL, 60640-4850, US
Phone (239) 248-7580
Fax
Toxanomy
Taxonomy Code 183500000X
License State Florida
License Number PS 39397
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According to our database, Ms. Teri Renee Belisle PHARMD, RD, LDN NPI is 1205024064, taxonomy code is 183500000X and license number is PS 39397, license state is located at Florida. Teri Renee Belisle PHARMD, RD, LDN physically located at 1725 W Harrison St, Chicago IL, 60612-3841. NPI Number Teri Renee Belisle PHARMD, RD, LDN has the Individual type.

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1205024064 NPI number is provided on an as is basis without warranty of any kind. 1205024064 is maintained by the National Plan & Provider Enumeration System. The contents of Teri Renee Belisle PHARMD, RD, LDN are for informational purposes only.