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Individual

JOE A SORISHO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD.

Contact information

Practice address
7139 N MILWAUKEE AVE, NILES, IL 60714-4424
(847) 647-6422
(847) 647-6520
Mailing address
7318 N EAST PRAIRIE RD, LINCOLNWOOD, IL 60712-1010
(224) 616-0677

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051040354
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
371414552034
IL
Enumeration date
03/22/2012
Last updated
03/22/2012
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