Healthcare Provider Details

I. General information

NPI: 1568382919
Provider Name (Legal Business Name): TRESA KURIAN PHARM D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E BRUSH HILL RD
ELMHURST IL
60126-5658
US

IV. Provider business mailing address

8158 RUTHERFORD DR
WOODRIDGE IL
60517-8049
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-0710
  • Fax:
Mailing address:
  • Phone: 331-221-0717
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051301666
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: