Individual
DR. DOMINIKA KUSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MAIN ST, PARK FOREST, IL 60466-2366
(708) 747-5562
Mailing address
12471 SPYGLASS CT, LEMONT, IL 60439-8117
(773) 653-0999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.299017
IL
Other
Enumeration date
01/01/2021
Last updated
01/01/2021
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