Individual
DR. DANIEL PAUL GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1201 N STATE PKWY, CHICAGO, IL 60610-2218
(312) 640-2842
(312) 640-2848
Mailing address
1201 N STATE PKWY, CHICAGO, IL 60610-2218
(312) 640-2842
(312) 640-2848
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051295668
IL
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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