Individual
AMANDA NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 RANDALL RD, SOUTH ELGIN, IL 60177-2248
(847) 622-1530
(847) 622-1617
Mailing address
375 RANDALL RD, SOUTH ELGIN, IL 60177-2248
(847) 622-1530
(847) 622-1617
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286734
IL
Other
Enumeration date
05/15/2016
Last updated
05/15/2016
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