Individual
CIPRIAN GORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
312 E LE MOYNE AVE, NORTHLAKE, IL 60164-2607
(312) 714-2973
Mailing address
312 E LE MOYNE AVE, NORTHLAKE, IL 60164-2607
(312) 714-2973
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291548
IL
Other
Enumeration date
05/12/2016
Last updated
05/12/2016
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