Individual
DOUGLAS GOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
2051 RIDGE RD, MINOOKA, IL 60447-8801
(815) 467-1254
Mailing address
2051 RIDGE RD, MINOOKA, IL 60447-8801
(815) 467-1254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035801
IL
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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