Individual
EARL VINCENT GATDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
8001 N MILWAUKEE AVE, NILES, IL 60714-2801
(847) 583-0409
Mailing address
8001 N MILWAUKEE AVE, NILES, IL 60714-2801
(847) 583-0409
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293335
IL
Other
Enumeration date
09/05/2011
Last updated
09/05/2011
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