Renee Petzel Gimbar, PHARM.D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051290009 Issued in IL

Practice address

833 S Wood St
Suite 164
Chicago, IL 60612-7229

Phone

(312) 413-9828

NPI assigned

Dec 2, 2013

Last updated

Dec 2, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385942400000",
    "number": "1184055139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 W FILLMORE ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074806",
            "telephone_number": "708-772-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 S WOOD ST",
            "address_2": "SUITE 164",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127229",
            "telephone_number": "312-413-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIMBAR",
        "first_name": "RENEE",
        "middle_name": "PETZEL",
        "name_prefix": "Dr.",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051290009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Gils, DO
• Jennifer Gilsdorf
• Marcia Gilson, OTR/L
• Robin Gilson, PSYD
• Sarah Feenstra Gilson, MD
• Sabrina Gimenez
• Johana B Gimenezrodriguez, MD
• Hillary Gimpel Wolff, MSW, LCSW
• Grace Everett Gimpel
• Brian Christopher Gin, M.D., PH.D.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.