Individual
MR. JOHN GRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
17 W GOLF RD, DES PLAINES, IL 60016-2410
(847) 296-5145
Mailing address
594 CONCORD LN, DES PLAINES, IL 60016-7529
(847) 296-6457
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033685
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033124334
—
IL
Enumeration date
10/20/2011
Last updated
10/20/2011
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