Mara Jill Andersen in Hines - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist
Mara Jill Andersen - NPI 1891894010
Mara Jill Andersen is a Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist in Hines, Illinois. Mara Jill Andersen practices all healthcare services and medical treatments related to Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist. The NPI Number for Mara Jill Andersen is 1891894010. The last update date is 2023-11-08.
Mara Jill Andersen's current location address is 5th Ave And Roosevelt Rd, Hines, Illinois. You can contact this provider via phone number 7082028387 and fax number 7082022011. The mailing address for Mara Jill Andersen is 5th Ave And Roosevelt Rd, Hines, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mara Jill Andersen |
|---|---|
| Address | 5th Ave And Roosevelt Rd, Hines, Illinois |
| Phone Number | 7082028387 |
| Fax Number | 7082022011 |
| Sole Proprietor | N |
| Credentials | PHARMD |
NPI Number Detail
| NPI Number | 1891894010 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2023-11-08 |
Provider Mailing Address Detail
| Address | 5th Ave And Roosevelt Rd |
|---|---|
| City | Hines |
| State | Illinois (IL) |
| Post Code | 60141 |
| Phone Number | 7082028387 |
| Fax Number | 7082022011 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist |
|---|---|
| Taxonomy | 1835P0018X |
| Licence No | 51.287852 |
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Definition: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
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What is the unique identification code assigned to Mara Jill Andersen by the Centers for Medicare & Medicaid Services?
The Mara Jill Andersen has been issued the NPI (National Provider Identifier) 1891894010. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Mara Jill Andersen's physical address?
The Mara Jill Andersen is physically located at 5Th Ave And Roosevelt Rd, in the city of Hines, IL, with the postal code 60141.
What is the Mara Jill Andersen's specialty and taxonomy code?
The Mara Jill Andersen's specialty is Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist, and the corresponding taxonomy code is 1835P0018X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891894010 to Mara Jill Andersen?
The Centers for Medicare & Medicaid Services originally issued the 1891894010 to Mara Jill Andersen on 2006-09-22.
When was the information regarding Mara Jill Andersen most recently updated?
The details pertaining to the Mara Jill Andersen, including its address, specialty, and other relevant information, were last refreshed on 2023-11-08.
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