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Individual

JAMES R BROEDLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
109 E MAIN ST, STREATOR, IL 61364-2924
(815) 672-2968
Mailing address
1513 E 2249TH RD, STREATOR, IL 61364-9767
(815) 672-0733

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IL

Other

Enumeration date
07/26/2006
Last updated
07/08/2007
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