Individual
GEORGE BARDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
18461 DIXIE HWY, HOMEWOOD, IL 60430-3229
(708) 957-1640
Mailing address
18461 DIXIE HWY, HOMEWOOD, IL 60430-3229
(708) 957-1640
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.040626
IL
Other
Enumeration date
11/07/2011
Last updated
11/07/2011
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