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Individual

DR. BRENT CORBIN EDELCUP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
687 WAUKEGAN RD, DEERFIELD, IL 60015-4331
(630) 299-3900
(630) 429-9704
Mailing address
687 WAUKEGAN RD, DEERFIELD, IL 60015-4331
(630) 299-3900
(630) 429-9704

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300771
IL

Other

Enumeration date
03/26/2018
Last updated
05/02/2022
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