Unknown Individual – Pharmacist, NPI 1013076447
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
12643 S MAJOR AVE
PALOS HEIGHTS, IL 604632417
Phone: (708) 371-8249
Fax: (630) 495-2355
Type: Mailing
805, South Main Street, Lombard, DuPage County, Illinois, 60148, United States
LOMBARD, IL 601483300
Phone: (630) 495-2333
Fax: (630) 495-2355
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60463)
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