Healthcare Provider Details

I. General information

NPI: 1750205530
Provider Name (Legal Business Name): EMILIA PIETA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 HORNE TER
DES PLAINES IL
60016-6012
US

IV. Provider business mailing address

1090 HORNE TER
DES PLAINES IL
60016-6012
US

V. Phone/Fax

Practice location:
  • Phone: 224-565-5531
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number33898
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: