Provider Demographics
NPI:1629382841
Name:NADAS, GYULA J (PHARM D)
Entity type:Individual
Prefix:DR
First Name:GYULA
Middle Name:J
Last Name:NADAS
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:JAY
Other - Middle Name:
Other - Last Name:NADAS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:2336 FISHHOOK WAY
Mailing Address - Street 2:
Mailing Address - City:WAUCONDA
Mailing Address - State:IL
Mailing Address - Zip Code:60084-5019
Mailing Address - Country:US
Mailing Address - Phone:847-863-5123
Mailing Address - Fax:
Practice Address - Street 1:302 WILMOT RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4614
Practice Address - Country:US
Practice Address - Phone:847-527-5153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.288746183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist