Individual
AMANDA RUSKOWSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21164 N LAGRANGE RD, FRANKFORT, IL 60423-2010
(815) 464-5352
Mailing address
261 W WOOD ST, NEW LENOX, IL 60451-1151
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.306996
IL
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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