Individual
DR. JOSE LUIS ORTIZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
501 N CONVENT ST, BOURBONNAIS, IL 60914-1329
(815) 937-0632
Mailing address
501 N CONVENT ST, BOURBONNAIS, IL 60914-1329
(815) 937-0632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300646
IL
Other
Enumeration date
09/05/2017
Last updated
08/19/2020
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