Individual
JOHN WIDGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7931
(815) 356-8592
(815) 356-8790
Mailing address
6140 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7931
(815) 356-8592
(815) 356-8790
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-038999
IL
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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