Individual
EDWARD JOSEPH LIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4201 N HARLEM AVE, NORRIDGE, IL 60706-1212
(708) 457-0165
(708) 457-0186
Mailing address
4201 N HARLEM AVE, NORRIDGE, IL 60706-1212
(708) 457-0165
(708) 457-0186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035278
IL
Other
Enumeration date
02/23/2010
Last updated
02/23/2010
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