Individual
DR. JOHN BENITO TALUSAN VALDEPENAS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3925 W ELM ST, MCHENRY, IL 60050-4361
(815) 363-0722
Mailing address
3925 W ELM ST, MCHENRY, IL 60050-4361
(815) 363-0722
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.301854
IL
Other
Enumeration date
06/05/2019
Last updated
07/01/2019
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