Stark, Jeffrey

Stark, Jeffrey is an sole proprietor health care provider with primary practice located at 175 W Army Trail Rd , Glendale Heights IL 60139-1971. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Stark, Jeffrey can be contacted via phone (630) 582-0065.

Contact Information

Primary practice address
175 W Army Trail Rd Glendale Heights IL 60139-1971
Phone: (630) 582-0065
Fax: (630) 259-1415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051036613 Illinois

Profile Details

NPI number 1275905952
LBN Legal business name Stark, Jeffrey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 21st, 2015
Last updated Oct 21st, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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