Individual
JEFFREY SCHOTKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 N RTE 31, CRYSTAL LAKE, IL 60012-3778
(815) 404-2643
Mailing address
315 N RTE 31, CRYSTAL LAKE, IL 60012
(815) 404-2643
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288568
IL
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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