Individual
MR. ANTHONY S BONO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
117 LUCY CT, LAKE ZURICH, IL 60047-1347
(847) 726-7260
Mailing address
117 LUCY CT, LAKE ZURICH, IL 60047-1347
(847) 726-7260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-032431
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-032431
ILLINOIS DEPARTMENT OF PROFESSIONAL REGULATION (PHARMACY LICENSE)
IL
Enumeration date
10/13/2014
Last updated
10/13/2014
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