Individual
DR. DATHYLIA YALIXA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
520 N WESTERN AVE, LAKE FOREST, IL 60045-1920
(847) 810-5991
Mailing address
520 N WESTERN AVE, LAKE FOREST, IL 60045-1920
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303751
IL
Other
Enumeration date
09/15/2021
Last updated
10/15/2021
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