Healthcare Provider Details

I. General information

NPI: 1114227014
Provider Name (Legal Business Name): EILEEN KROL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 08/21/2020
Certification Date: 08/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 S MILWAUKEE AVE
WHEELING IL
60090-6202
US

IV. Provider business mailing address

724 S MILWAUKEE AVE
WHEELING IL
60090-6202
US

V. Phone/Fax

Practice location:
  • Phone: 847-243-8259
  • Fax: 847-324-2190
Mailing address:
  • Phone: 847-243-8259
  • Fax: 847-324-2190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051-287407
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: