MEDICARE: ROBERT RYAN NEIHEISEL 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		IL

General Provider Information

NPI Number	:	1790998003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERT RYAN NEIHEISEL PHARMD

Provider Business Mailing Address
First Line	:	16741 W GRACE ST
Second Line	:
City	:	LOCKPORT
State	:	IL
Zip	:	60441-7659
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5324 S PULASKI RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60632-4224
Country	:	US
Telephone Number	:	773-284-7402
Fax Number	:

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

Provider Enumeration Date	:	05/07/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1497297303 — DR. JULIO VILLAFUERTE PHARM.D.
Practice Location Address:

5324 S PULASKI RD
CHICAGO, IL
60632-4224

Practice Phone: 773-284-7402
Practice Fax: 773-284-0366

1801877089 — DR. ALAMDAR H BADER DDS
Practice Location Address:

654 E 47TH ST
CHICAGO, IL
60653-4224

Practice Phone: 773-624-5800
Practice Fax: 773-624-5858

1033222542 — MICHELLE THERESA WATTERS MD
Practice Location Address:

2121 W TAYLOR ST , SPH/EOHS, OCC. MED., MC 684
CHICAGO, IL
60612-4224

Practice Phone: 312-413-0369
Practice Fax:

1093820656 — WALKERS COTTAGE APOTHECARY INC
Practice Location Address:

654 E 47TH STREET
CHICAGO, IL
60653-4224

Practice Phone: 773-924-6723
Practice Fax: 773-924-6817

1003923186 — DR. A J TROTTA D.D.S.
Practice Location Address:

4224 W LAWRENCE AVE
CHICAGO, IL
60630-2729

Practice Phone: 773-545-2881
Practice Fax: 773-545-1142

1538247762 — ACCESS COMMUNITY HEALTH NETWORK
Practice Location Address:

654 E 47TH ST
CHICAGO, IL
60653-4224

Practice Phone: 773-624-4800
Practice Fax:

Directions to “ ROBERT RYAN NEIHEISEL PHARMD” 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.