Jim Home
NPI #1992316046 in Lake Forest, Illinois
Provider Information
- NPI Number
- 1992316046
- Entity Type
- Individual
- Name
- Jim Home
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Aug 12, 2020
Practice Location
- Address
- 296 E DEERPATH
- City
- Lake Forest
- State
- Illinois
- ZIP Code
- 60045-1940
- Phone
- (847) 234-2413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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