Individual
JOHN WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9230 LUNA AVE, MORTON GROVE, IL 60053-1542
(773) 968-7986
Mailing address
9230 LUNA AVE, MORTON GROVE, IL 60053-1542
(773) 968-7986
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.132244
IL
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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