Airola, Dale

Airola, Dale is an sole proprietor health care provider with primary practice located at 17033 Burton Ave , Lockport IL 60441-4607. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Airola, Dale can be contacted via phone (708) 285-3253.

Contact Information

Primary practice address
17033 Burton Ave Lockport IL 60441-4607
Phone: (708) 285-3253
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051029129 Illinois

Profile Details

NPI number 1508312166
LBN Legal business name Airola, Dale
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 1st, 2016
Last updated Sep 1st, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508312166 NPPES
Illinois Other 051029129 STATE LICENCE NUMBER

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