Individual
JEREMY MOZWECZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1341 N PAULINA ST, CHICAGO, IL 60622-2145
(773) 342-5217
Mailing address
1341 N PAULINA ST, CHICAGO, IL 60622-2145
(773) 342-5217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
049210662
IL
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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