Healthcare Provider Details

I. General information

NPI: 1881511160
Provider Name (Legal Business Name): MARIA ILENI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

450 W HIGHWAY 22
BARRINGTON IL
60010-1919
US

IV. Provider business mailing address

450 W HIGHWAY 22
BARRINGTON IL
60010-1919
US

V. Phone/Fax

Practice location:
  • Phone: 224-616-4569
  • Fax:
Mailing address:
  • Phone: 224-616-4569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.307194
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: