Individual
DR. DIANE KAY GORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
16675 OAK PARK AVE, TINLEY PARK, IL 60477-1754
(708) 429-0880
Mailing address
15514 ROB ROY DR, OAK FOREST, IL 60452-2736
(708) 945-2972
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292671
IL
Other
Enumeration date
09/01/2011
Last updated
10/31/2012
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