Provider Demographics
NPI:1730704891
Name:MCALLISTER, BRADLEY JAMES (PHARMD)
Entity type:Individual
Prefix:DR
First Name:BRADLEY
Middle Name:JAMES
Last Name:MCALLISTER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:734 S HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-2528
Mailing Address - Country:US
Mailing Address - Phone:847-528-6099
Mailing Address - Fax:
Practice Address - Street 1:122 N VAIL AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1432
Practice Address - Country:US
Practice Address - Phone:847-368-1795
Practice Address - Fax:847-368-1808
Is Sole Proprietor?:No
Enumeration Date:2020-06-14
Last Update Date:2020-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.299892183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist