MEDICARE: KIMBERLY BHULLAR 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	051-286056	IL
2	183500000X	Pharmacist	051-286056	IL

General Provider Information

NPI Number	:	1972624468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY BHULLAR PHARMD

Provider Business Mailing Address
First Line	:	545 N HICKS RD
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-3608
Country	:	US
Telephone Number	:	847-963-4175
Fax Number	:	847-963-4882

Provider Business Practice Location Address
First Line	:	545 N HICKS RD
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-3608
Country	:	US
Telephone Number	:	847-963-4175
Fax Number	:	847-963-4882

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	06/10/2026

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Directions to “ KIMBERLY BHULLAR PHARMD” Practice Location

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