Individual
MS. DEBORAH MARIE STUKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13023 S LA GRANGE RD, PALOS PARK, IL 60464-1718
(708) 361-2291
Mailing address
15816 JON RD, OAK FOREST, IL 60452-2766
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-035118
IL
Other
Enumeration date
08/31/2011
Last updated
09/01/2011
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