Active NPI
Jelena Tomic
- Pharmacist
- Hickory Hills, IL
National Provider Identifier
1104109040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-290583
- Practice address
- 7945 W 95TH St
Hickory Hills, IL 60457-2229 - Phone
- (708) 599-5603
- Fax
- (708) 599-7848
- NPI assigned
- Sep 27, 2011
- 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 | 051-290583 | IL | Primary |
Addresses
Primary practice location
7945 W 95TH St
Hickory Hills, IL 60457-2229
Mailing address
7945 W 95TH St
Hickory Hills, IL 60457-2229
Phone (708) 599-5603
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 |
|---|---|---|---|
| 051-290583 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317081600000",
"number": "1104109040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 W 95TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604572229",
"telephone_number": "708-599-5603",
"fax_number": "708-599-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 W 95TH ST",
"city": "HICKORY HILLS",
"state": "IL",
"postal_code": "604572229",
"telephone_number": "708-599-5603",
"fax_number": "708-599-7848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMIC",
"first_name": "JELENA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-27",
"last_updated": "2011-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-290583",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.