Individual
ALEX SIDNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 MERRY CT, COUNTRYSIDE, IL 60525-3556
(630) 484-8898
Mailing address
2 MERRY CT, COUNTRYSIDE, IL 60525-3556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.297178
IL
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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