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Individual

IYPE JOSEPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4521 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-6523
(309) 682-1250
(309) 682-1147
Mailing address
4521 N PROSPECT RD, PEORIA HEIGHTS, IL 61616-6523
(309) 682-1250
(309) 682-1147

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-286249
IL

Other

Enumeration date
11/17/2020
Last updated
11/17/2020
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