SearchIllinois183500000X

Robert Listecki

NPI 1659552206 · on the registry since 2007 · sole proprietor

Practice

Address
486 Roosevelt Rd
Glen Ellyn, IL 60137
Phone
(630) 469-5200
Organisation at this address
Glen Ellyn Pharmacy Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-11-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois