Individual
MS. DARYEL C. WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
18301 PULASKI RD., HAZEL CREST, IL 60429
(708) 335-4180
(708) 335-4271
Mailing address
PO BOX 2311, COUNTRY CLUB HILLS, IL 60478-9411
(708) 922-3928
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
015.039662
IL
1835X0200X
Oncology Pharmacist
051.039662
IL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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