Active NPI
Mitzi Marie Wasik, PHARMD
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1225007867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- Practice address
- 1801 W Taylor St
Suite 4E
Chicago, IL 60612-4319 - Phone
- (312) 996-2901
- Fax
- (312) 996-5181
- NPI assigned
- Mar 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | IL | Primary |
Addresses
Primary practice location
1801 W Taylor St
Suite 4E
Chicago, IL 60612-4319
Mailing address
833 S Wood St
Chicago, IL 60612-7229
Phone (312) 996-6110
Other names 1
- Miss Mitzi Marie McGinnis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051-287553 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1225007867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 S WOOD ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127229",
"telephone_number": "312-996-6110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"address_2": "SUITE 4E",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124319",
"telephone_number": "312-996-2901",
"fax_number": "312-996-5181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASIK",
"first_name": "MITZI",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MITZI",
"last_name": "MCGINNIS",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.