Individual
ALEX VIZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 761-3006
(773) 761-3413
Mailing address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 761-3006
(773) 761-3413
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049223728
IL
Other
Enumeration date
02/02/2015
Last updated
06/28/2015
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