DR. KESSY ANN HAUBENREISER (NPI# 1790214591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790214591 |
| Entity Type | Individual |
| Full Name | DR. KESSY ANN HAUBENREISER |
| Credential | PHARMD |
| Practice Address |
17117 Harlem Ave Tinley Park IL 60477-3307 |
| Practice Telephone | (708) 532-7477 |
| Mailing Telephone | 7085327477 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 049214234 | IL | Pharmacy Service Providers |
| Street Address |
17117 HARLEM AVE |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1639781560 | Fatima Thalji | Pharmacist | 9025 Timberwood Ln, Tinley Park, IL 60487-2171 | 2020-08-21 |
| 1437772753 | Cynthia E Collins | Pharmacist | 16066 Eagle Ridge Dr, Tinley Park, IL 60477-1294 | 2020-05-20 |
| 1235537176 | Rxnight LLC | Pharmacist | 8503 Monaghan Dr, Tinley Park, IL 60487-3641 | 2014-12-09 |
| 1417399452 | Shilpaben Patel | Pharmacist | 16415 84th Ave, Tinley Park, IL 60477-1111 | 2013-07-18 |
| 1083984009 | Teri D Uhlean | Pharmacist | 17712 Clifton Ct, Tinley Park, IL 60487-8495 | 2012-01-06 |
| 1679855597 | Florence Delavega | Pharmacist | 9151 Mansfield Dr, Tinley Park, IL 60487 | 2011-09-16 |
| 1902187982 | Saed Khalil | Pharmacist | 8700 Scheer Dr, Tinley Park, IL 60487-8658 | 2011-09-02 |
| 1477875748 | Michael Thomas Gorski | Pharmacist | 16300 Harlem Ave, Tinley Park, IL 60477-2576 | 2010-02-26 |
| 1326212564 | Brooke Anna Mason | Pharmacist | 17160 Parkside Ave, Tinley Park, IL 60477-3039 | 2008-04-18 |
| 1487780276 | John J Mascarello | Pharmacist | 7545 159th St, Tinley Park, IL 60477-9305 | 2007-02-26 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
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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.