Kenneth Robert Bertini in Oak Park - Pharmacist
Kenneth Robert Bertini - NPI 1477669695
Kenneth Robert Bertini is a Pharmacist in Oak Park, Illinois. Kenneth Robert Bertini practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kenneth Robert Bertini is 1477669695. The last update date is 2007-07-08.
Kenneth Robert Bertini's current location address is 6144 Roosevelt Rd, Oak Park, Illinois. You can contact this provider via phone number 7083836767 and fax number 7083836872. The mailing address for Kenneth Robert Bertini is 6144 Roosevelt Rd, Oak Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Robert Bertini |
|---|---|
| Address | 6144 Roosevelt Rd, Oak Park, Illinois |
| Phone Number | 7083836767 |
| Fax Number | 7083836872 |
| Sole Proprietor | Y |
| Credentials | RPH |
NPI Number Detail
| NPI Number | 1477669695 |
|---|---|
| Provider Enumeration Date | 2006-08-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6144 Roosevelt Rd |
|---|---|
| City | Oak Park |
| State | Illinois (IL) |
| Post Code | 603042316 |
| Phone Number | 7083836767 |
| Fax Number | 7083836872 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 5400914 |
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Definition: 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 m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363489260001 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Kenneth Robert Bertini by the Centers for Medicare & Medicaid Services?
The Kenneth Robert Bertini has been assigned the NPI (National Provider Identifier) 1477669695. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Kenneth Robert Bertini's facilities are situated?
The facilities of Kenneth Robert Bertini are physically located at the following address: 6144 Roosevelt Rd, Oak Park, IL, 603042316.
What is Kenneth Robert Bertini's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth Robert Bertini's area of specialization is Pharmacist, and the corresponding taxonomy code that categorizes this field of practice is 183500000X.
When was the Kenneth Robert Bertini's 1477669695 issued?
The Kenneth Robert Bertini's 1477669695 was issued on 2006-08-21.
When was the information regarding Kenneth Robert Bertini, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth Robert Bertini, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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