Individual
GREGORY M MAVROVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
11833 S WESTERN AVE, CHICAGO, IL 60643-4733
(773) 233-2245
Mailing address
15234 WOODMAR DR, ORLAND PARK, IL 60462-4144
(708) 460-4589
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.293643
IL
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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