Individual
AGNIESZKA WALCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4050 N HARLEM AVE, NORRIDGE, IL 60706-1328
(708) 583-6990
Mailing address
4050 N HARLEM AVE, NORRIDGE, IL 60706-1328
(708) 583-6990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.295571
IL
Other
Enumeration date
11/25/2020
Last updated
11/25/2020
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