Individual
DR. SEAN M MIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
(773) 878-8200
Mailing address
5145 N CALIFORNIA AVE, CHICAGO, IL 60625-3661
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051.292220
IL
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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