Individual
MARK A WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
501 PLAINFIELD RD, WILLOWBROOK, IL 60527-5341
(630) 789-1797
(630) 789-2463
Mailing address
501 PLAINFIELD RD, WILLOWBROOK, IL 60527-5341
(630) 789-1797
(630) 789-2463
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
051-035909
IL
Other
Enumeration date
10/31/2011
Last updated
10/31/2011
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