Healthcare Provider Details

I. General information

NPI: 1285911826
Provider Name (Legal Business Name): MICHAEL MEURIS RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2011
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9504 142ND ST
ORLAND PARK IL
60462-4296
US

IV. Provider business mailing address

8129 BORMET DR
TINLEY PARK IL
60477-6352
US

V. Phone/Fax

Practice location:
  • Phone: 708-226-0027
  • Fax: 708-226-0052
Mailing address:
  • Phone: 708-606-1061
  • Fax: 708-226-0052

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051-041119
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: