Individual
HERBERT JAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9449 SKOKIE BLVD, SKOKIE, IL 60077-1312
(847) 677-2564
Mailing address
9134 TRIPP AVE, SKOKIE, IL 60076-1610
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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