Individual
DR. MICHAEL JAMES KORONKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
833 S WOOD ST, ROOM 164, CHICAGO, IL 60612-7229
(312) 996-8865
(312) 996-0379
Mailing address
833 S WOOD ST, ROOM 164, CHICAGO, IL 60612-7229
(312) 996-8865
(312) 996-0379
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
051036588
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
051036588
IL
Other
Enumeration date
11/01/2006
Last updated
08/03/2009
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