Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mitchell Canciller I

Individual provider Pharmacist · NPI 1083978258

Mitchell Canciller I is a Pharmacist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
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Practice location Address checks out

1650 W Chicago Ave
Chicago, IL 60622-5128
Phone: (773) 213-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.290884 (IL)

Record details

NPI number1083978258
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 2, 2012
Last updated in NPPESDecember 22, 2014
Mailing address1650 W Chicago Ave, Chicago, IL 60622-5128

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