Denise L Nalaboff, RPH
Individual provider Active NPI Pharmacist · Glencoe, IL
NPI 1962784041 · NPPES record last updated Sep 14, 2011
Key facts
- NPI
- 1962784041
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051290984 (IL)
- Practice address
- 63 Green Bay Rd
Glencoe, IL 60022-4416 - Phone
- (847) 835-8417
- NPI assigned
- Sep 14, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS28508 | FL | MD | Pharmacist |
| 051290984 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051290984 | IL | Yes |
| Pharmacist | 183500000X | PS28508 | FL |
Addresses
Primary practice location
63 Green Bay Rd
Glencoe, IL 60022-4416
Mailing address
2498 Fielding Dr
Glenview, IL 60026-7757
Phone (847) 730-3156
Other providers in Glencoe, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 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.