Dalton, Ellen Lisa

Dalton, Ellen Lisa is an individual health care provider with primary practice located at 1701 E Kensington Rd , Mt Prospect IL 60056-1922. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Dalton, Ellen Lisa can be contacted via phone (847) 635-9962.

Contact Information

Primary practice address
1701 E Kensington Rd Mt Prospect IL 60056-1922
Fax: (847) 635-9981
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051035992 Illinois

Profile Details

NPI number 1639450323
LBN Legal business name Dalton, Ellen Lisa
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2011
Last updated Sep 8th, 2011 - about 14 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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