Patricia Brillo, PHARMD.
Individual provider Active NPI Pharmacist · Bartlett, IL
NPI 1164546180 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164546180
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- Practice address
- 1460 Newcastle LN
Bartlett, IL 60103-8931 - Phone
- (630) 736-9703
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 051-289995 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | IL | Yes |
Addresses
Primary practice location
1460 Newcastle LN
Bartlett, IL 60103-8931
Mailing address
1460 Newcastle LN
Bartlett, IL 60103-8931
Other providers in Bartlett, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.