Active NPI
Daniel E Foncham
- Pharmacist
- Olympia Fields, IL
National Provider Identifier
1083520589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051308946
- Practice address
- 20950 Governors Hwy
Olympia Fields, IL 60461-1039 - Phone
- (708) 747-0121
- NPI assigned
- Aug 24, 2026
- Sex
- Male
- 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 | 051308946 | IL | Primary |
Addresses
Primary practice location
20950 Governors Hwy
Olympia Fields, IL 60461-1039
Mailing address
20950 Governors Hwy
Olympia Fields, IL 60461-1039
Phone (708) 747-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1083520589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20950 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611039",
"telephone_number": "708-747-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20950 GOVERNORS HWY",
"city": "OLYMPIA FIELDS",
"state": "IL",
"postal_code": "604611039",
"telephone_number": "708-747-0121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FONCHAM",
"first_name": "DANIEL",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-24",
"certification_date": "2026-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051308946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia Fields, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.