Laura J Pawlak, RPH, BS PHARM

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.038911 Issued in IL

Practice address

9265 159TH St
Orland Hills, IL 60487-5977

Phone

(708) 349-4340

Fax

(708) 349-4355

NPI assigned

Oct 22, 2020

Reactivated

Oct 28, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1154920957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9265 159TH ST",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875977",
            "telephone_number": "708-349-4340",
            "fax_number": "708-349-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9265 159TH ST",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875977",
            "telephone_number": "708-349-4340",
            "fax_number": "708-349-4355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLAK",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "RPH, BS PHARM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "deactivation_date": "2020-10-22",
        "reactivation_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.038911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Diana Montalvo, OTR/L
• Shireen Musleh, MA
• Daija O'Banion Whaley, LCPC
• Olaoluwa Ogunlana, PT, DPT
• Valerie Paluszak, P.T.
• Ann M Polodna, LCPC
• Vilas Potdukhe, DPT
• Erik Ramirez
• Yazmine Richardson
• Dore Elizabeth Robinson, D.O.

• Pharmacist in Orland Hills, IL
• Providers in Orland Hills, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.