Anil Vootkur, PHARMD
Individual provider Active NPI Pharmacist · Hawthorn Woods, IL
NPI 1114251600 · NPPES record last updated Sep 30, 2009
Key facts
- NPI
- 1114251600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051287981 (IL)
- Practice address
- 25 Deerfield Dr
Hawthorn Woods, IL 60047-6505 - Phone
- (847) 550-0675
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051287981 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051287981 | IL | Yes |
Addresses
Primary practice location
25 Deerfield Dr
Hawthorn Woods, IL 60047-6505
Mailing address
25 Deerfield Dr
Hawthorn Woods, IL 60047-6505
Phone (847) 550-0675
Other providers in Hawthorn Woods, IL
- Kathleen Taylor
- The Welch Practic
- Paula Jean Tipton
- Vanderbilt Family Chiropractic, LLC
- Brian Dale Vanderbilt
- Wauconda Family Dental PLLC
All providers in Hawthorn Woods, IL · Pharmacist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.