Healthcare Provider Details

I. General information

NPI: 1922917780
Provider Name (Legal Business Name): REBECCA CAPSHAW PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 W HIGH ST
MORRIS IL
60450-1497
US

IV. Provider business mailing address

2139 MUIRFIELD CT
YORKVILLE IL
60560-9077
US

V. Phone/Fax

Practice location:
  • Phone: 815-942-2932
  • Fax: 815-942-3088
Mailing address:
  • Phone: 815-942-2932
  • Fax: 815-942-3088

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License Number051-294132
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: