Individual
DR. EDMUND J CORDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
1901 W 22ND ST FL 1, OAK BROOK, IL 60523-1785
(630) 928-0220
(630) 928-0567
Mailing address
7317 BAYBERRY LN, DARIEN, IL 60561-3709
(630) 715-1767
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.301590
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051.301590
IL
Other
Enumeration date
10/01/2018
Last updated
05/08/2023
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