Individual
JON PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 BROOK FOREST AVE, SHOREWOOD, IL 60404-8846
(815) 577-2747
(815) 577-2751
Mailing address
950 BROOK FOREST AVE, SHOREWOOD, IL 60404-8846
(815) 577-2747
(815) 577-2751
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051286099
IL
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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