Greg Otis Padjen

NPI #1104100213 in Crystal Lake, Illinois

Provider Information

NPI Number
1104100213
Entity Type
Individual
Name
Greg Otis Padjen
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Pharmacist
Enumeration Date
Oct 7, 2011
Last Updated
Oct 7, 2011

Practice Location

Address
151 W NORTHWEST HIGHWAY
ZIP Code
60014
Phone
(815) 455-2460

Specialties & Taxonomy Codes

Specialty
Pharmacist

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