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Individual

ALEC WESOLOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 273-7519
Mailing address
421 E THACH AVE, AUBURN, AL 36830-5539
(954) 815-2773

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051304054
IL
390200000X
Student in an Organized Health Care Education/Training Program
S12352
AL

Other

Enumeration date
01/17/2019
Last updated
07/03/2022
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