Provider Demographics
NPI:1598839094
Name:STANCIU, DANIEL J (RPH)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:J
Last Name:STANCIU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 COACH AND SURREY LN
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506-4412
Mailing Address - Country:US
Mailing Address - Phone:630-897-8415
Mailing Address - Fax:
Practice Address - Street 1:1032 PRAIRIE ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506-5447
Practice Address - Country:US
Practice Address - Phone:630-897-2531
Practice Address - Fax:630-897-2259
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist