Individual
MRS. IRENE DIANA SEBEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3050 N LEWIS AVE, WAUKEGAN, IL 60087-2231
(847) 599-9079
Mailing address
13196 W WAKEFIELD DR, NONE, BEACH PARK, IL 60083-3014
(847) 249-3155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051288634
IL
183500000X
Pharmacist
15376040
WI
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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