Healthcare Provider Details

I. General information

NPI: 1568068062
Provider Name (Legal Business Name): BOBBIANN RAUGHLEY PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 E NEW YORK ST
AURORA IL
60504-5160
US

IV. Provider business mailing address

855 CARLY CT
YORKVILLE IL
60560-7300
US

V. Phone/Fax

Practice location:
  • Phone: 630-236-0847
  • Fax: 630-236-0850
Mailing address:
  • Phone: 630-748-9844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051299574
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051299574
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: