Individual
MR. GREGORY S KOVAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
9511 W HIGGINS RD, ROSEMONT, IL 60018-4905
(847) 292-8989
(847) 292-8990
Mailing address
9511 W HIGGINS RD, ROSEMONT, IL 60018-4905
(847) 292-8989
(847) 292-8990
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200954033001
—
IL
01
—
209601
CLIA
IL
Enumeration date
06/08/2006
Last updated
07/08/2007
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