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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GREG OTIS PADJEN

Active

GREG OTIS PADJEN is a Pharmacist healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1104100213 is currently active in the NPPES registry. Verify at CMS.

Pharmacist · CRYSTAL LAKE, IL

Registration Details

NPI Number
1104100213
Provider Type
Individual
Gender
Male
NPI Issued
Oct 7, 2011 (14.841602924494 yrs)
Last Updated
Oct 7, 2011
License
051035321 (IL)

Practice Information

Address
151 W NORTHWEST HIGHWAY
CRYSTAL LAKE, IL, 60014
Browse IL providers · Browse ZIP 60014
Phone
8154552460
Fax
8154551638
Primary Specialty
Pharmacist
183500000X

Other Pharmacist Providers in CRYSTAL LAKE, IL

Name Credential NPI
MR. MARC LOUIS RUBIN R.PH. AE-C 1811995483
GEORGE TOLIOPOULOS RPH 1548387467
SAMUEL GAGLIANO RPH 1902138126
DUSTIN YUHN PHARMD 1285925800
MICHAEL I FEINBERG RPH 1164716346
XUEFAN SUN PHARMD 1952696593
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.