Healthcare Provider Details

I. General information

NPI: 1790305571
Provider Name (Legal Business Name): EMILY SEKIEWICZ PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2020
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S MAIN ST
WHEATON IL
60187-5240
US

IV. Provider business mailing address

625 S MAIN ST
WHEATON IL
60187-5240
US

V. Phone/Fax

Practice location:
  • Phone: 630-690-6474
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051.302538
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.302538
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: