Individual
GREG OTIS PADJEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
151 W NORTHWEST HIGHWAY, CRYSTAL LAKE, IL 60014
(815) 455-2460
(815) 455-1638
Mailing address
151 W NORTHWEST HIGHWAY, CRYSTAL LAKE, IL 60014
(815) 455-2460
(815) 455-1638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051035321
IL
Other
Enumeration date
10/07/2011
Last updated
10/07/2011
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