MEDICARE: DR. KEVIN QUACH 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	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	051296266	IL

General Provider Information

NPI Number	:	1962329045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KEVIN QUACH PHARMD

Provider Business Mailing Address
First Line	:	6736 W 90TH ST
Second Line	:
City	:	OAK LAWN
State	:	IL
Zip	:	60453-1420
Country	:	US
Telephone Number	:	877-269-4831
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 BIERMANN CT
Second Line	:
City	:	MOUNT PROSPECT
State	:	IL
Zip	:	60056-2151
Country	:	US
Telephone Number	:	877-269-4831
Fax Number	:

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

Provider Enumeration Date	:	06/30/2026
Last Update Date	:	06/30/2026

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Directions to “ DR. KEVIN QUACH PHARMD” Practice Location

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