MEDICARE: JEFFREY GOVEDNIK RPH

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	051037803	IL

General Provider Information

NPI Number	:	1770186413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY GOVEDNIK RPH

Provider Business Mailing Address
First Line	:	21661 BUTTERNUT LN
Second Line	:
City	:	DELAVAN
State	:	IL
Zip	:	61734-1719
Country	:	US
Telephone Number	:	309-229-4954
Fax Number	:

Provider Business Practice Location Address
First Line	:	4521 N PROSPECT RD
Second Line	:
City	:	PEORIA HEIGHTS
State	:	IL
Zip	:	61616-6523
Country	:	US
Telephone Number	:	309-682-1250
Fax Number	:

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

Provider Enumeration Date	:	11/17/2020
Last Update Date	:	11/17/2020

Similar Medicare Providers

1740883552 — IYPE JOSEPH
Practice Location Address:

4521 N PROSPECT RD
PEORIA HEIGHTS, IL
61616-6523

Practice Phone: 309-682-1250
Practice Fax: 309-682-1147

1114884210 — ASCLEPIUS ILLINOIS LLC
Practice Location Address:

4440 N PROSPECT RD
PEORIA HEIGHTS, IL
61616-6556

Practice Phone: 309-248-6399
Practice Fax:

1255327631 — DR. STEPHEN C DOUGHTY MD
Practice Location Address:

1120 E WAR MEMORIAL DR
PEORIA HEIGHTS, IL
61616-7757

Practice Phone: 888-220-6432
Practice Fax: 630-654-4253

1659362499 — OSF HEALTHCARE SYSTEM
Practice Location Address:

5533 N GALENA RD
PEORIA HEIGHTS, IL
61616-4447

Practice Phone: 309-682-5428
Practice Fax: 309-682-8478

1346228418 — JENNIFER A SIEFERT RPH
Practice Location Address:

4450 N PROSPECT RD STE 7
PEORIA HEIGHTS, IL
61616-6578

Practice Phone: 309-679-2047
Practice Fax: 309-679-2051

1306804281 — MRS. CRISTINA LYNN MUGRAGE MSW
Practice Location Address:

4700 N PROSPECT RD , SUITE A1
PEORIA HEIGHTS, IL
61616-6451

Practice Phone: 309-212-3606
Practice Fax: 888-474-1956

Directions to “ JEFFREY GOVEDNIK RPH” 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.