Individual
JALAL MATARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6700 W 95TH ST STE 150, OAK LAWN, IL 60453-2280
(708) 598-5000
(708) 598-6737
Mailing address
222 STONE CT STE C, NEW LENOX, IL 60451-1598
(815) 666-1113
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295156
IL
Other
Enumeration date
01/18/2021
Last updated
10/08/2023
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