Julia Spadaro

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051039577 Issued in IL

Practice address

983 Il Route 59
Antioch, IL 60002-1453

Phone

(847) 395-5691

Fax

(847) 395-7689

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Highland Park CVS, L.L.C.

  • Pharmacy
  • Antioch, IL
  • NPI 1871729988
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1760078745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 EDGEWATER LN",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600022093",
            "telephone_number": "815-861-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 IL ROUTE 59",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021453",
            "telephone_number": "847-395-5691",
            "fax_number": "847-395-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADARO",
        "first_name": "JULIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051039577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle M Smith, LBS1 PEL LSW
• Elizabeth Soifer, DO
• Lena Soldayeva, PHARMD
• Solution Center PC
• Roger Allen Sona, O.D
• Tiffany Springsteen, DPT
• Tiffany Stella, MOT, OTR/L
• Stone Labyrinth Counseling & Wellness, PLLC
• Jill A Stone, PT
• Larry V Stone, PT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Antioch, IL
• Providers in Antioch, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.