Fusco, Theodore Victor

Fusco, Theodore Victor is an individual health care provider with primary practice located at 920 N Green Bay Rd , Waukegan IL 60085-2240. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fusco, Theodore Victor can be contacted via phone (847) 623-7066.

Contact Information

Primary practice address
920 N Green Bay Rd Waukegan IL 60085-2240
Phone: (847) 623-7066
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051287055 Illinois

Profile Details

NPI number 1689884249
LBN Legal business name Fusco, Theodore Victor
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jan 10th, 2015 - about 11 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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