Active NPI
Theresa Schlagel, PHARM. D.
- Pharmacist
- Bradley, IL
National Provider Identifier
1104252576
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051-038952
- Practice address
- 990 N Kinzie Ave
Bradley, IL 60915-1233 - Phone
- (815) 932-9977
- Fax
- (708) 755-1470
- NPI assigned
- Sep 17, 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 | 051-038952 | IL | Primary |
Addresses
Primary practice location
990 N Kinzie Ave
Bradley, IL 60915-1233
Mailing address
1174 Aspen Dr
Manteno, IL 60950-5018
Phone (815) 932-9977
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-038952 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458259200000",
"number": "1104252576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1174 ASPEN DR",
"city": "MANTENO",
"state": "IL",
"postal_code": "609505018",
"telephone_number": "815-932-9977",
"fax_number": "708-755-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 N KINZIE AVE",
"city": "BRADLEY",
"state": "IL",
"postal_code": "609151233",
"telephone_number": "815-932-9977",
"fax_number": "708-755-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLAGEL",
"first_name": "THERESA",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2016-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051-038952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradley, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.