Individual
DONALD LELLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
815 N. RANDALL RD, ELGIN, IL 60123
(847) 717-6510
Mailing address
1908 DAKOTA RDG, JOHNSBURG, IL 60051-5285
(815) 344-6647
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051032289
IL
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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