Marion Kathrin Dennison, PHARMD
Individual provider Active NPI Pharmacist · Romeoville, IL
NPI 1154615417 · NPPES record last updated Jun 4, 2011
Key facts
- NPI
- 1154615417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051293304 (IL)
- Practice address
- 349 S Weber Rd
T-2293
Romeoville, IL 60446-6530 - Phone
- (815) 524-9802
- Fax
- (815) 524-9812
- NPI assigned
- Jun 4, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| 051293304 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051293304 | IL | Yes |
Addresses
Primary practice location
349 S Weber Rd
T-2293
Romeoville, IL 60446-6530
Mailing address
349 S Weber Rd
T-2293
Romeoville, IL 60446-6530
Phone (815) 524-9802
Other providers in Romeoville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2011. 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.