Individual
MARK ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2112 W PETERSON AVE, CHICAGO, IL 60659-4277
(773) 761-3006
(773) 761-3413
Mailing address
4541 N BEACON ST APT 2G, CHICAGO, IL 60640-5545
(815) 245-9867
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
049.159042
IL
Other
Enumeration date
02/03/2015
Last updated
02/03/2015
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