Individual
MR. JOHN J MASCARELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7545 159TH ST, TINLEY PARK, IL 60477-9305
(708) 532-7711
(708) 532-1524
Mailing address
7545 W 159TH ST, TINLEY PARK, IL 60477-9305
(708) 532-7711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
02/26/2007
Last updated
02/13/2008
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