Individual
DR. CAROLYN J WIKSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
15850 S 94TH AVE, T-0842, ORLAND PARK, IL 60462-4725
(708) 349-1383
(708) 349-1383
Mailing address
15850 S 94TH AVE, T-0842, ORLAND PARK, IL 60462-4725
(708) 349-1383
(708) 349-1383
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051037074
IL
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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