LIFE GATE PHARMACY LLC
Medical Practice at 121 St, Palos Park, IL

License number
Illinois 036059796
Category
Osteopathic Medicine
Type
Emergency Medicine
License number
Illinois 016003225
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: MICHELLE HERZOG
Title: MBR
Phone: (708) 557-3155
Address
Address
8559 W 121St St, Palos Park, IL 60464
National Provider ID: 1558788760
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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