Yasmin Chavez

Individual provider Active NPI Pharmacy Technician · Lockport, IL

NPI 1043086200 · NPPES record last updated Nov 29, 2023

Key facts

NPI
1043086200
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacy Technician 183700000X
License
049.305881 (IL)
Practice address
16750 W 159TH St
Lockport, IL 60441
Phone
(815) 280-9211
NPI assigned
Nov 29, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
049.305881ILMDPharmacy Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 049.305881 IL Yes

Addresses

Primary practice location

16750 W 159TH St
Lockport, IL 60441

Mailing address

16750 W 159TH St
Lockport, IL 60441
Phone (815) 280-9211

Other providers in Lockport, IL

All providers in Lockport, IL · Pharmacy Technician in Illinois

Sources for this page

Verify at the official NPI Registry.