Healthcare Provider Details

I. General information

NPI: 1457519621
Provider Name (Legal Business Name): JILL HIZEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2008
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 N ELSTON AVE
CHICAGO IL
60630-1610
US

IV. Provider business mailing address

5353 N ELSTON AVE
CHICAGO IL
60630-1610
US

V. Phone/Fax

Practice location:
  • Phone: 773-481-6936
  • Fax:
Mailing address:
  • Phone: 773-481-6962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051296619
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.296619
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: