Individual
MR. HOWARD WAYNE SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12700 W ROCKLAND, LAKE BLUFF, IL 60044
(847) 615-2088
(847) 615-2177
Mailing address
790 SHERIDAN ROAD, GLENCOE, IL 60022-1363
(847) 835-1566
(847) 835-0356
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051028862
IL
Other
Enumeration date
11/04/2011
Last updated
11/04/2011
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