Lindsay Brady

Individual provider Active NPI Pharmacotherapy Pharmacist · Oswego, IL

NPI 1497167407 · NPPES record last updated May 24, 2014

Key facts

NPI
1497167407
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
051.292506 (IL)
Practice address
2700 Route 34
Oswego, IL 60543-7118
Phone
(630) 636-5010
NPI assigned
May 24, 2014
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

State licenses

LicenseStateTypeSpecialty
051.292506ILMDPharmacotherapy Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 051.292506 IL Yes

Addresses

Primary practice location

2700 Route 34
Oswego, IL 60543-7118

Mailing address

231 Long Beach Rd
Oswego, IL 60543-8073
Phone (630) 806-5111

Other providers in Oswego, IL

All providers in Oswego, IL · Pharmacotherapy Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.