Individual provider · NPI-1
Courtney Chmieleski
Pharmacy, Community/Retail Pharmacy · Olympia Fields, IL
NPI number1992309710
StatusActive
Last updated in NPPESDec 28, 2020
Details
- NPI
- 1992309710
- Entity type
- Individual (NPI-1)
- Name
- Courtney Chmieleski
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 23, 2020
- Certification date
- Dec 28, 2020
- Last updated
- Dec 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
3400 Lincoln HwyOlympia Fields, IL 60461-1703
Phone 708-748-6472
Mailing address
8s711 Singletree LnNaperville, IL 60565-9234
Other practice locations
9551 171st St
Tinley Park, IL 60487-6109
Tinley Park, IL 60487-6109
Phone 708-873-0062
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.