Distaola, Alberto A
Distaola, Alberto A is an individual health care provider with primary practice located at 1050 Waukegan Rd , Northbrook IL 60062-3700. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Distaola, Alberto A can be contacted via phone (847) 272-3155.Contact Information
Primary practice address
1050 Waukegan Rd
Northbrook IL 60062-3700
Phone: (847) 272-3155
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 051041039 | Illinois |
Profile Details
| NPI number | 1124308606 |
|---|---|
| LBN Legal business name | Distaola, Alberto A |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2011 |
| Last updated | Aug 28th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124308606 | NPPES |
| Illinois | Other | 051041039 | PHARMACY LISCENSE |
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