Individual
DANIEL JAY WESSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4860 HONONEGAH RD, ROSCOE, IL 61073-7777
(815) 623-7798
(815) 623-9479
Mailing address
4125 AUTUMN LN, FREEPORT, IL 61032-8639
(815) 233-5860
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051033107
IL
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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