Individual
DANIEL MICHAEL LYNCH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
141 W NORTH AVE, NORTHLAKE, IL 60164-2389
(708) 492-1417
Mailing address
12740 ELM ST, BLUE ISLAND, IL 60406-1910
(773) 307-9516
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290297
IL
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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