Healthcare Provider Details

I. General information

NPI: 1487578654
Provider Name (Legal Business Name): PIPER ROSE SPENGEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

2650 RIDGE AVE
EVANSTON IL
60201-1700
US

IV. Provider business mailing address

7711 PRESTON DR
WONDER LAKE IL
60097-9287
US

V. Phone/Fax

Practice location:
  • Phone: 847-570-2210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.309226
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: