Individual
DR. DIMITRIOS GEORGE TSAKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
399 SOUTH ROUTE 45, LINDENHURST, IL 60046
(847) 356-2066
(847) 356-2194
Mailing address
490 CRYSTAL PL, GURNEE, IL 60031-4076
(847) 356-2066
(847) 356-2194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051038387
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051.038387
STATE LISCENCE IL
IL
Enumeration date
09/13/2011
Last updated
09/13/2011
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