Individual
MR. JERRY VANCE HILDEBRANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH
Contact information
Practice address
401 N WALL ST, KANKAKEE, IL 60901-2934
(815) 935-4356
(815) 935-4358
Mailing address
479 DOLLY DR, MANTENO, IL 60950-1611
(815) 468-6330
(815) 468-7995
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
09190
NV
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
03/04/2007
Last updated
07/08/2007
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