MEDICARE: DR. JASON MCDANIEL PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	61358	FL
2	183500000X	Pharmacist	051306254	IL

General Provider Information

NPI Number	:	1316559578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON MCDANIEL PHARMD

Provider Business Mailing Address
First Line	:	480 S US HIGHWAY 45
Second Line	:
City	:	GRAYSLAKE
State	:	IL
Zip	:	60030-3910
Country	:	US
Telephone Number	:	708-421-4282
Fax Number	:

Provider Business Practice Location Address
First Line	:	480 S US HIGHWAY 45
Second Line	:
City	:	GRAYSLAKE
State	:	IL
Zip	:	60030-3910
Country	:	US
Telephone Number	:	708-421-4282
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	04/20/2025

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Directions to “ DR. JASON MCDANIEL PHARMD” Practice Location

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