Provider Demographics
NPI:1134414519
Name:ROBEL, NADA K (RPH)
Entity type:Individual
Prefix:
First Name:NADA
Middle Name:K
Last Name:ROBEL
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 WINSTON PLZ
Mailing Address - Street 2:MEIJER PHARMACY #263
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1502
Mailing Address - Country:US
Mailing Address - Phone:708-338-5664
Mailing Address - Fax:708-338-5665
Practice Address - Street 1:950 WINSTON PLZ
Practice Address - Street 2:MEIJER PHARMACY #263
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1502
Practice Address - Country:US
Practice Address - Phone:708-338-5664
Practice Address - Fax:708-338-5665
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2012-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051286044183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist