Individual
DIANE D. VERTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1161 W JEFFERSON ST, JOLIET, IL 60435-6858
(815) 744-4600
Mailing address
18311 S BRONK RD, PLAINFIELD, IL 60586-8634
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
51-33660
IL
Other
Enumeration date
11/25/2006
Last updated
07/08/2007
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