Individual
DOMINIKA MARIA TYLKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16750 W 159TH ST, LOCKPORT, IL 60441-7968
(815) 834-1351
Mailing address
14421 DIXON LN, HOMER GLEN, IL 60491-9306
(708) 578-9828
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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