RALPH LEE LEVANGE

KANKAKEE, IL
NPI1770866105
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051-030040)
Enumeration Date2011-09-21
Last Update Date2011-09-21
Business Address
Mr. RALPH LEE LEVANGE r.ph.
1050 N KENNEDY DR
KANKAKEE, IL 60901-2033
Phone number: 815-932-9615
Mailing Address
Mr. RALPH LEE LEVANGE r.ph.
23 S RAYMOND DR
KANKAKEE, IL 60901-8335
Phone number: 815-304-4293