Individual
DR. JEFFREY J. MUCKSAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
833 S WOOD ST, ROOM 164 (MC 886), CHICAGO, IL 60612-7229
(312) 996-1710
Mailing address
5350 N DAMEN AVE, UNIT K, CHICAGO, IL 60625-1185
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
51287918
IL
Other
Enumeration date
11/02/2006
Last updated
07/08/2007
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