Carolyn J Wikstrom, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051037074 Issued in IL

Practice address

15850 S 94TH Ave
T-0842
Orland Park, IL 60462-4725

Phone

(708) 349-1383

Fax

(708) 349-1383

NPI assigned

Jun 10, 2011

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1307664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1780979419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 S 94TH AVE",
            "address_2": "T-0842",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624725",
            "telephone_number": "708-349-1383",
            "fax_number": "708-349-1383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15850 S 94TH AVE",
            "address_2": "T-0842",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624725",
            "telephone_number": "708-349-1383",
            "fax_number": "708-349-1383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIKSTROM",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-10",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051037074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wholistically Therapeutic LLC
• Stephanie Wic
• Janet Lynn Wichmann, L.C.P.C.
• Nancy L. Widger, RN
• Fionnuala Wierzgac, REGISTERED NURSE
• Beth Ann Wilczewski, OTR
• Timothy Wild, COTA
• Jillian Wilder
• Ann Wilke, DPT
• William a. Seper, D.D.S., P.C.

• Pharmacist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; 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.