Individual
JAMES BOBLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10260 S HARLEM AVE, BRIDGEVIEW, IL 60455-2401
(708) 499-2388
Mailing address
16135 BENT GRASS DR, LOCKPORT, IL 60441-4631
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292943
IL
Other
Enumeration date
10/31/2020
Last updated
10/31/2020
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