Individual
CASEY R CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 W LINCOLN HWY, DEKALB, IL 60115-3678
(815) 756-1815
(815) 748-5527
Mailing address
100 W LINCOLN HWY, DEKALB, IL 60115-3678
(815) 756-1815
(815) 748-5527
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292355
IL
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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