Healthcare Provider Details

I. General information

NPI: 1710828652
Provider Name (Legal Business Name): BRIAN KULPINSKI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 DEMPSTER ST
PARK RIDGE IL
60068-1143
US

IV. Provider business mailing address

2991 BELLER DR
DARIEN IL
60561-1621
US

V. Phone/Fax

Practice location:
  • Phone: 847-723-9862
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number051303095
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: