Jyotika P Amin
Individual provider Active NPI Pharmacist · Willowbrook, IL
NPI 1598045072 · NPPES record last updated Aug 28, 2011
Key facts
- NPI
- 1598045072
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051036596 (IL)
- Practice address
- 10S370 Rte 83
Willowbrook, IL 60527-6140 - Phone
- (630) 655-2733
- Fax
- (630) 655-3991
- NPI assigned
- Aug 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051036596 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051036596 | IL | Yes |
Addresses
Primary practice location
10S370 Rte 83
Willowbrook, IL 60527-6140
Mailing address
6875 Fieldstone Dr
Burr Ridge, IL 60527-5294
Phone (630) 789-3637
Other providers in Willowbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 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.