Paul Cesario, RPH
Individual provider Active NPI Pharmacist · Norridge, IL
NPI 1215219829 · NPPES record last updated Sep 9, 2011
Key facts
- NPI
- 1215219829
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051-037665 (ID)
- Practice address
- 4101 N Harlem Ave
Norridge, IL 60706-1211 - Phone
- (708) 457-0606
- NPI assigned
- Sep 9, 2011
- Sex
- Male
- 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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-037665 | ID | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051-037665 | ID | Yes |
Addresses
Primary practice location
4101 N Harlem Ave
Norridge, IL 60706-1211
Mailing address
4101 N Harlem Ave
Norridge, IL 60706-1211
Phone (708) 457-0606
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 9, 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.