Individual
CALVIN WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3100 W IL ROUTE 60, MUNDELEIN, IL 60060-4267
(847) 367-2660
Mailing address
2129 HAZELWOOD DR, MCHENRY, IL 60051-2625
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051305996
IL
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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