Individual
FLORENCE DELAVEGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9151 MANSFIELD DR, TINLEY PARK, IL 60487
(708) 460-2021
(708) 460-2974
Mailing address
9151 MANSFIELD DR, TINLEY PARK, IL 60487-9572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051291205
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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