Greg Otis Padjen

Pharmacist · Crystal Lake, IL

Individual Active NPI

NPI number 1104100213

Practice location

151 W Northwest Highway
Crystal Lake, IL 60014
Phone
(815) 455-2460
Fax
(815) 455-1638

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NPI record

NPI
1104100213
Entity type
Individual (Type 1)
Enumeration date
October 7, 2011
Last updated
October 7, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051035321 IL

About Greg Padjen

Greg Otis Padjen is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 151 W Northwest Highway, Crystal Lake, IL 60014. The NPI number 1104100213 was assigned on October 7, 2011 and the record was last updated on October 7, 2011.

Greg Padjen lists a license in the registry: #051035321 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Greg Otis Padjen?

The NPI number is 1104100213.

What is the phone number of Greg Padjen?

The phone number listed for the practice location is (815) 455-2460.

Where is Greg Padjen located?

151 W Northwest Highway, Crystal Lake, IL 60014.

What is the taxonomy code for Greg Padjen?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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