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Individual

CODY ADAM WILGUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1300 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3724
(847) 680-8300
Mailing address
16573 W APPLEWOOD CT, GURNEE, IL 60031-2471
(847) 281-6692

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
305338
IL

Other

Enumeration date
02/10/2023
Last updated
02/10/2023
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