Individual
MR. CRAIG ADLER MANDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
401 N MAIN ST, GLEN ELLYN, IL 60137-5101
(630) 469-1414
Mailing address
563 DORSET AVE, GLEN ELLYN, IL 60137-5702
(630) 469-6368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
05128142
IL
183700000X
Pharmacy Technician
049091215
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36364114001
—
IL
Enumeration date
02/20/2007
Last updated
10/26/2010
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