Individual
LINDA ANN VIDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4708 W 103RD ST, OAK LAWN, IL 60453-4706
(708) 425-2400
Mailing address
10700 KILPATRICK AVE, OAK LAWN, IL 60453-5595
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
IL
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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