Individual
DANIEL Y. TAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
8502 BUCKI LN, WILLOW SPRINGS, IL 60480-1172
(708) 408-9833
(708) 386-9421
Mailing address
8502 BUCKI LN, WILLOW SPRINGS, IL 60480-1172
(708) 408-9833
(708) 386-9421
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032122
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051032122
ILLINOIS RPH LICENSE
IL
Enumeration date
08/26/2011
Last updated
08/26/2011
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