Individual
CRISTIAN CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20015 E GRANT HWY, MARENGO, IL 60152-8207
(815) 568-7866
Mailing address
632 COVERED BRIDGE CT, ELGIN, IL 60124-6876
(224) 276-0463
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.304594
IL
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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