Jaye Nelson
Individual provider Active NPI Pharmacy Technician · Fox Lake, IL
NPI 1164016325 · NPPES record last updated Feb 26, 2021
Key facts
- NPI
- 1164016325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacy Technician 183700000X
- Practice address
- 61 S Route 12
Fox Lake, IL 60020-1750 - Phone
- (847) 587-8222
- NPI assigned
- Feb 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | Yes |
Addresses
Primary practice location
61 S Route 12
Fox Lake, IL 60020-1750
Mailing address
3017 Pleasant Dr
McHenry, IL 60051-2636
Phone (815) 575-6867
Other providers in Fox Lake, IL
- Lynn M. Maloney
- Marengo Physical Therapy, Inc.
- Mathers Recovery LLC
- Mathers Recovery LLC
- Mathers Recovery LLC
- Northern Illinois Foot & Ankle Specialists, LTD
- Northwestern Lake Counseling
- Amanda C Otten
- Zoe Ozse
- Dean Papadopoulos
All providers in Fox Lake, IL · Pharmacy Technician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2021. 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.