Individual
DR. PATRICK WILLIAM WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 569-7932
Mailing address
808 W LAKESIDE PL APT 305, CHICAGO, IL 60640-5132
(773) 878-5838
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
5302025189
MI
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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