Individual
JASON MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2690 GOLF RD, GLENVIEW, IL 60025-4744
(847) 657-9863
Mailing address
60 FLETCHER DR, DES PLAINES, IL 60016-2222
(847) 208-8949
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291540
IL
Other
Enumeration date
09/21/2023
Last updated
09/21/2023
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