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Individual

MRS. ALEXIS G MCCONKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
(815) 802-3166
Mailing address
505 RIVERSTONE PKWY, KANKAKEE, IL 60901-7207
(815) 802-3166

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051039139
IL

Other

Enumeration date
11/03/2020
Last updated
11/03/2020
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