Individual
GERRY LAGUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
150 FENCL LN, HILLSIDE, IL 60162-2041
(708) 449-7600
Mailing address
335 WOODSIDE DR, BLOOMINGDALE, IL 60108-2529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.300570
IL
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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