JENNIFER AVILES (NPI# 1164706040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164706040 |
| Entity Type | Individual |
| Full Name | JENNIFER AVILES |
| Credential | PHARMD |
| Practice Address |
2200 N Lewis Ave Waukegan IL 60087-3885 |
| Practice Telephone | 8476236375 |
| Practice Fax Number | 8476231554 |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051290896 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861040495 | Jennifer M Aviles I | Developmental Therapist | 75 Bickford St, Jamaica Plain, MA 02130-1401 | 2019-08-27 |
| 1548678980 | Jennifer M Aviles | Case Manager/Care Coordinator | 521 Edwards St, Medford, OR 97501-5852 | 2014-07-29 |
| 1821408808 | Jennifer Aviles | Case Management | 11080 W Olympic Blvd, 1st Floor, Los Angeles, CA 90064-1937 | 2014-04-30 |
| 1215926761 | Jennifer M Aviles | Emergency Medicine | 16251 Sylvester Rd Sw, Burien, WA 98166-3017 | 2005-10-18 |
| Street Address |
2200 N LEWIS AVE |
| City | WAUKEGAN |
| State | IL |
| Zip Code | 60087-3885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366457400 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2200 N Lewis Ave, Waukegan, IL 60087-3885 | 2006-07-29 |
| 1598036857 | Alex Godin | Pharmacist | 2200 N Lewis Ave, Waukegan, IL 60087-3885 | 2012-01-18 |
| 1013292804 | Jennifer J Han | Pharmacist | 2200 N Lewis Ave, Waukegan, IL 60087-3885 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982268017 | Michael Donavan Wilson | Counselor | 200 North Lewis, Waukegan, IL 60087 | 2019-04-24 |
| 1114412160 | David B Fuentes | Specialist/Technologist | 2904 Wall Ave, Waukegan, IL 60087 | 2018-06-22 |
| 1578912713 | Fulton Family Dental, Ltd. | Dentist | 1308 Sunset Ave., Waukegan, IL 60087 | 2016-06-08 |
| 1902852825 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 3124 N Lewis Ave, Waukegan, IL 60087 | 2006-05-25 |
| 1396723565 | Daram H Reddy Md | Psychiatry & Neurology | 609 Greenwood Ave, Waukegan, IL 60087 | 2006-01-06 |
| 1609200328 | Rosa Margaret Uriostegui | Interpreter | 2117 Edgewood Rd, Waukegan, IL 60087-1442 | 2013-08-29 |
| 1518390871 | Mary Sol Enriquez | Developmental Therapist | 11307 W Edgewood Rd, Beach Park, IL 60087-1526 | 2013-08-09 |
| 1649894130 | Kelly M Ingram | Developmental Therapist | 38229 N North Ave, Beach Park, IL 60087-1662 | 2020-06-01 |
| 1467735209 | Kelly A. Holverson | Speech-Language Pathologist | 38286 N Geraghty Ave, Beach Park, IL 60087-1748 | 2011-09-27 |
| 1487669594 | Walgreen Co | Pharmacy | 39023 N Green Bay Rd, Beach Park, IL 60087-1978 | 2006-07-29 |
| Find all providers in zip 60087 | ||||
| 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 |
|---|---|---|---|---|
| 1073056016 | Jessica J Johnson | Pharmacist | 1586 S Lakeside Dr, Waukegan, IL 60085-8309 | 2016-11-23 |
| 1154778033 | Margo Mekheil | Pharmacist | 922 N Green Bay Rd, Waukegan, IL 60085-2240 | 2016-05-19 |
| 1861777815 | Allen Y Yee I | Pharmacist | 709 N Greenbay Road, Waukegan, IL 60085 | 2011-10-20 |
| 1609158948 | Craig Robert Anderson | Pharmacist | 709 N Greenbay Rd, Waukegan, IL 60085 | 2011-09-13 |
| 1619299542 | Sheldon Dim | Pharmacist | 3110 Belvidere Rd, Waukegan, IL 60085-6016 | 2010-02-19 |
| 1932709102 | Jennifer Losser | Pharmacist | 3900 Fountain Square Pl, Waukegan, IL 60085-6708 | 2020-10-27 |
| 1750981023 | Jennifer Hays | Pharmacist | 3900 Fountain Square Pl, Waukegan, IL 60085-6708 | 2020-10-27 |
| 1548869092 | Baton Shabani | Pharmacist | 3900 Fountain Square Pl, Waukegan, IL 60085-6708 | 2020-10-25 |
| 1053926147 | Madeline Jean Walder | Pharmacist | 1811 Belvidere Rd, Waukegan, IL 60085-7221 | 2020-09-15 |
| 1598378499 | Tahar Baziz | Pharmacist | 709 N Green Bay Rd, Waukegan, IL 60085-2235 | 2020-08-28 |
| Find all providers in WAUKEGAN | ||||
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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.