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Individual

DR. CHAD KODIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD, RPH

Contact information

Practice address
221 SPRINGFIELD AVE, JOLIET, IL 60435-7653
(815) 727-4722
(815) 727-4731
Mailing address
221 SPRINGFIELD AVE, JOLIET, IL 60435-7653
(815) 727-4722
(815) 727-4731

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287112
IL

Other

Enumeration date
12/11/2020
Last updated
12/11/2020
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