Mandel, Craig Adler

Mandel, Craig Adler is an sole proprietor health care provider with primary practice located at 401 N Main St , Glen Ellyn IL 60137-5101. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacy Technician. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mandel, Craig Adler can be contacted via phone (630) 469-1414.

Contact Information

Primary practice address
401 N Main St Glen Ellyn IL 60137-5101
Phone: (630) 469-1414
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 05128142 Illinois
Pharmacy Service Providers / Pharmacy Technician 183700000X 049091215 Illinois

Profile Details

NPI number 1730224486
LBN Legal business name Mandel, Craig Adler
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Oct 26th, 2010 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730224486 NPPES
Illinois MEDICAID 36364114001

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