Individual
MR. ISTREF SAM SABANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
796 RIVERSIDE RD, BELVIDERE, IL 61008-8637
(815) 218-7028
Mailing address
796 RIVERSIDE RD, BELVIDERE, IL 61008-8637
(815) 218-7028
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290882
IL
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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