Philip Cho

Individual provider Active NPI Pharmacist · Mundelein, IL

NPI 1891550992 · NPPES record last updated Feb 19, 2024

Key facts

NPI
1891550992
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051.306052 (IL)
Practice address
951 N Il Route 83
Mundelein, IL 60060-9115
Phone
(847) 566-7208
NPI assigned
Feb 19, 2024
Sex
Male
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

LicenseStateTypeSpecialty
051.306052ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.306052 IL Yes

Addresses

Primary practice location

951 N Il Route 83
Mundelein, IL 60060-9115

Mailing address

1016 Evergreen St
Mundelein, IL 60060-1263
Phone (224) 392-9115

Other providers in Mundelein, IL

All providers in Mundelein, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.