Individual
MR. CHARLES F WASSILAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1100 E EXCHANGE ST, CRETE, IL 60417-3433
(708) 672-9175
Mailing address
1100E. EXCHANGE AVE, CRETE, IL 60417-0000
(708) 672-9175
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
01/23/2007
Last updated
02/19/2008
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