Active NPI
Diane Marchut
- Pharmacist
- Oswego, IL
National Provider Identifier
1033540752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051041247
- Practice address
- 2300 Route 34
Oswego, IL 60543-7132 - Phone
- (630) 554-5616
- Fax
- (630) 554-5745
- NPI assigned
- Dec 5, 2013
- 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 | 051041247 | IL | Primary |
Addresses
Primary practice location
2300 Route 34
Oswego, IL 60543-7132
Mailing address
2300 Route 34
Oswego, IL 60543-7132
Phone (630) 554-5616
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 |
|---|---|---|---|
| 051041247 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555545600000",
"number": "1033540752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 ROUTE 34",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437132",
"telephone_number": "630-554-5616",
"fax_number": "630-554-5745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 ROUTE 34",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437132",
"telephone_number": "630-554-5616",
"fax_number": "630-554-5745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCHUT",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-05",
"last_updated": "2019-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051041247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.