MS. DEBRA L WILSON (NPI# 1134402316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134402316 |
| Entity Type | Individual |
| Full Name | MS. DEBRA L WILSON |
| Credential | RPH |
| Practice Address |
4010 W Lawrence Ave Chicago IL 60630 |
| Mailing Address |
4010 W Lawrence Chicago IL 60630 |
| Practice Telephone | 7732860309 |
| Practice Fax Number | 7732862645 |
| Mailing Telephone | 7732860309 |
| Mailing Fax Number | 7732862645 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051040518 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275967291 | Debra R Wilson | Registered Nurse | 222 Tongass Airport Road, Sitka, AK 99835 | 2013-08-27 |
| 1891043287 | Debra Lynn Wilson | Physical Therapist | 400 Parnassus Ave # A68, San Francisco, CA 94143-0228 | 2012-08-16 |
| 1831445444 | Debra Patricia Wilson | Specialist | 68 Universe Dr, Levittown, NY 11756-4234 | 2012-08-01 |
| 1750512273 | Debra Jean Wilson | Pharmacist | 132 W Taft St, Sapulpa, OK 74066-5433 | 2009-07-31 |
| 1184852188 | Debra M. Wilson | Dentist | 108 Holly Dr, Warner Robins, GA 31088-6615 | 2009-06-29 |
| 1093943318 | Debra L Wilson | Registered Nurse | 3850 Faversham Rd, University Heights, OH 44118-3730 | 2009-06-25 |
| 1518183524 | Debra M Wilson | Pharmacist | 525 N. State of Franklin Rd, Johnson City, TN 37604 | 2007-04-18 |
| 1083220040 | Debra Lee Wilson | Registered Nurse | 2001 The Alameda, San Jose, CA 95126-1136 | 2020-09-16 |
| 1073078002 | Debra Wilson | Specialist | 75 Crystal Run Rd, Middletown, NY 10941-7000 | 2019-02-04 |
| 1407327158 | Debra Wilson | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-12-06 |
| Street Address |
4010 W LAWRENCE AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710992037 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 4010 W Lawrence Ave, Chicago, IL 60630-4313 | 2006-07-29 |
| 1376155275 | Nazneen Fatima | Pharmacist | 4010 W Lawrence Ave, Chicago, IL 60630-2825 | 2020-08-20 |
| 1689957961 | Leanne M Kamis | Pharmacist | 4010 W Lawrence Ave, Chicago, IL 60630 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1811419476 | Jill Swartzmiller | Occupational Therapist | 5248 N Liano Ave, Chicago, IL 60630 | 2017-07-14 |
| 1588193908 | Vanessa Landa | Behavior Technician | 4831 N Mobile, Chicago, IL 60630 | 2017-06-08 |
| 1851753784 | Claudia Melendez | Counselor | 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 | 2016-03-21 |
| 1174983795 | Cheryl Ann Howe | Speech-Language Pathologist | 4714 N. Laramie Ave., Chicago, IL 60630 | 2016-02-24 |
| 1740657055 | Nihar Shah | Pharmacist | 4010 W Lawrence, Chicago, IL 60630 | 2015-08-24 |
| 1326450966 | Robert E Placzek | Dentist | 5650 W. Lawrence Ave., Chicago, IL 60630 | 2014-06-02 |
| 1730426545 | Violet Bernadet Mcguane | Nurse Practitioner | 4801 N Central, Chicago, IL 60630 | 2013-01-14 |
| 1639455231 | Jinnah A Caluag | Pharmacist | 4010 W. Lawrence, Chicago, IL 60630 | 2011-10-26 |
| 1255616256 | Marcus Kim | Pharmacist | 4010 W. Lawrence Ave, Chicago, IL 60630 | 2011-10-21 |
| Find all providers in zip 60630 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1003416439 | Denise Venketramen | Pharmacist | 939 W Madison St Apt 310, Chicago, IL 60607-2656 | 2020-10-26 |
| 1427657063 | Sundis I Islefo | Pharmacist | 2647 W Rascher Ave Apt 2w, Chicago, IL 60625-3106 | 2020-10-24 |
| 1497353361 | Eleanor English | Pharmacist | 910 W Huron St Unit 1209, Chicago, IL 60642-5968 | 2020-10-13 |
| 1942808001 | Iris Esmeralda Gutierrez | Pharmacist | 3343 S Leavitt St, Chicago, IL 60608-6018 | 2020-10-12 |
| 1417564790 | Tara Airola | Pharmacist | 857 N Marshfield Ave Unit 1, Chicago, IL 60622-5132 | 2020-09-30 |
| 1174137129 | Tangtang Zhao | Pharmacist | 9148 S Commercial Ave, Chicago, IL 60617-4307 | 2020-09-06 |
| 1710591334 | Karolina Maculewicz | Pharmacist | 371 W Ontario St, Chicago, IL 60654-5716 | 2020-09-01 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1245844026 | Rachel Klepacz | Pharmacist | 101 N Clinton St, Chicago, IL 60661-1505 | 2020-08-31 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.