Individual
JOHN ILIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
542 LATHROP AVE, RIVER FOREST, IL 60305-1835
(630) 815-5064
Mailing address
542 LATHROP AVE, RIVER FOREST, IL 60305-1835
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-286228
IL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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