Active NPI
Elizabeth Owole Ilo
- Pharmacist
- Morton Grove, IL
National Provider Identifier
1023895760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051305844
- Practice address
- 9301 Waukegan Rd
Morton Grove, IL 60053-1313 - Phone
- (847) 965-2444
- NPI assigned
- Sep 14, 2023
- Last updated
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051305844 | IL | Primary |
Addresses
Primary practice location
9301 Waukegan Rd
Morton Grove, IL 60053-1313
Mailing address
8607 Georgiana Ave
Morton Grove, IL 60053-2911
Phone (847) 637-7384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051305844 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1023895760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8607 GEORGIANA AVE",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600532911",
"telephone_number": "847-637-7384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9301 WAUKEGAN RD",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600531313",
"telephone_number": "847-965-2444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ILO",
"first_name": "ELIZABETH",
"middle_name": "OWOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051305844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton Grove, IL
- Igor Rechitsky, MD Neurologist LTD.
- Illinois Bone and Joint Institute
- Illinois Bone and Joint Institute, LLC
- Illinois Bone and Joint Institute, LLC
- Illinois Sports Medicine & Orthopedic Surgery Center, LLC
- Irina Bolotnikov DDS PC
- Nusaybah Ismail
- Marko J Jachtorowycz, M.D.
- Julie Marie Jacobs, APN-CNP
- Judith Whitford James, FNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.