IndividualActive
Bruce Mandel
NPI 1134723240 · Pharmacist · Waukegan, IL
Bruce Mandel is a Pharmacist provider in Waukegan, IL (NPI 1134723240).
Provider details
- NPI number
- 1134723240
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 051.035928 (IL)
Practice location
10 S Lewis Ave
Waukegan, IL 60085-5121
Phone: (847) 623-9194
Street-level locationGet directions
Mailing address
10 S Lewis Ave
Waukegan, IL 60085-5121
Registry dates
- Enumerated
- 2020-11-30
- Last updated
- 2020-11-30
- Certified
- 2020-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.