Individual
GUY G CRIMALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
6736 N LORON AVE, CHICAGO, IL 60646-1410
(773) 774-1022
(847) 635-2265
Mailing address
6736 N LORON AVE, CHICAGO, IL 60646-1410
(773) 774-1022
(847) 635-2265
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-0034361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051-034631
PHARMACIST LICENSE#
IL
Enumeration date
04/17/2007
Last updated
05/22/2014
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