Individual
DAVID JOHN VIDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
347 N INDEPENDENCE BLVD, ROMEOVILLE, IL 60446-1558
(815) 293-1152
(815) 293-1165
Mailing address
1020 HILLVIEW DR, LEMONT, IL 60439-4336
(773) 671-0619
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-029685
IL
Other
Enumeration date
09/16/2011
Last updated
09/16/2011
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