| Isaac Ibrahim Boktor, | |
|
221 N Western Ave, West Peoria, IL 61604-5640 | |
| (309) 673-0665 | |
| Not Available |
| Full Name | Isaac Ibrahim Boktor |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 221 N Western Ave, West Peoria, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982942942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051295553 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Isaac Ibrahim Boktor, 221 N Western Ave, West Peoria, IL 61604-5640 Ph: (309) 673-0665 | Isaac Ibrahim Boktor, 221 N Western Ave, West Peoria, IL 61604-5640 Ph: (309) 673-0665 |
Richard L Monroe, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 925 N Western Ave, West Peoria, IL 61604 Phone: 309-676-4421 | |
Andrew B Kurz, RPH Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 221 N Western Ave, West Peoria, IL 61604 Phone: 309-673-0665 | |
Dr. Keith R Fuentes, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 221 N Western Ave, West Peoria, IL 61604 Phone: 309-673-0665 Fax: 309-673-3593 |