Individual
JACOB LATANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15575 E 127TH ST, LEMONT, IL 60439-4433
(630) 257-9250
Mailing address
1392 NOTRE DAME DR, LEMONT, IL 60439-8527
(630) 561-2703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051303535
IL
Other
Enumeration date
10/13/2020
Last updated
10/13/2020
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