Active NPI
Edith A Nutescu, PHARM.D.
- Pharmacotherapy Pharmacist
- Chicago, IL
National Provider Identifier
1508979675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- Practice address
- 1801 W Taylor St
Suite 1C
Chicago, IL 60612-4319 - Phone
- (312) 355-0117
- Fax
- (312) 355-3133
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 1C
Chicago, IL 60612-4319
Mailing address
833 S Wood St
Room 164; MC 886
Chicago, IL 60612-7229
Phone (312) 996-0880
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 |
|---|---|---|---|
| 051.039827 | IL | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508979675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 S WOOD ST",
"address_2": "ROOM 164; MC 886",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606127229",
"telephone_number": "312-996-0880",
"fax_number": "312-413-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 W TAYLOR ST",
"address_2": "SUITE 1C",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124319",
"telephone_number": "312-355-0117",
"fax_number": "312-355-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUTESCU",
"first_name": "EDITH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.