Jennifer Nadra
Individual provider Active NPI Pharmacist · Lindenhurst, IL
NPI 1609323229 · NPPES record last updated Sep 1, 2016
Key facts
- NPI
- 1609323229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 299790 (IL)
- Practice address
- 399 S US Highway 45
Lindenhurst, IL 60046-7404 - Phone
- (847) 356-2066
- NPI assigned
- Sep 1, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 299790 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 299790 | IL | Yes |
Addresses
Primary practice location
399 S US Highway 45
Lindenhurst, IL 60046-7404
Mailing address
4334 Buckingham Dr
Gurnee, IL 60031-6241
Other providers in Lindenhurst, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 1, 2016. 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.