Individual
DIANA PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
2253 N. RICHMOND RD., MCHENRY, IL 60050
(815) 578-9710
(815) 578-9765
Mailing address
2253 N. RICHMOND RD., MCHENRY, IL 60050
(815) 578-9710
(815) 578-9765
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051300155
IL
Other
Enumeration date
09/12/2017
Last updated
07/21/2022
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