DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DR. BRIAN THOMAS CRYDER PHARM.D.

MEDICARE: DR. BRIAN THOMAS CRYDER PHARM.D.
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
11835P1200XPharmacotherapy Pharmacist03-2-25261OH
21835P1200XPharmacotherapy PharmacistIL

General Provider Information

NPI Number : 1679514558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIAN THOMAS CRYDER PHARM.D.
Provider Business Mailing Address
First Line : 14511 CENTRAL CT
Second Line : UNIT PH4
City : OAK FOREST
State : IL
Zip : 60452-1065
Country : US
Telephone Number : 708-489-2761
Fax Number :
Provider Business Practice Location Address
First Line : 9831 S WESTERN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60643-1791
Country : US
Telephone Number : 773-881-5632
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1407887938 — RICHARD BONE M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:
1093748758 — ROBIA BYAS M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:
1205869419 — ATINUKE R UWAJEH M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:
1245263532 — RUPA CHENNAMANENI M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:
1285669689 — ROSEMARY CARROLL M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:
1184659336 — THELMA EVANS M.D.
Practice Location Address:
9831 S WESTERN AVE
CHICAGO, IL
60643-1791
Practice Phone: 773-445-3500
Practice Fax:

Directions to “ DR. BRIAN THOMAS CRYDER PHARM.D.” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.