Provider Demographics
NPI:1114227014
Name:KROL, EILEEN (PHARMD)
Entity Type:Individual
Prefix:
First Name:EILEEN
Middle Name:
Last Name:KROL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:724 S MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-6202
Mailing Address - Country:US
Mailing Address - Phone:847-243-8259
Mailing Address - Fax:847-324-2190
Practice Address - Street 1:724 S MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-6202
Practice Address - Country:US
Practice Address - Phone:847-243-8259
Practice Address - Fax:847-324-2190
Is Sole Proprietor?:No
Enumeration Date:2010-10-25
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-287407183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist