Healthcare Provider Details

I. General information

NPI: 1700761830
Provider Name (Legal Business Name): RAINIER CELI PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2025
Last Update Date: 08/07/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N WINFIELD RD
WINFIELD IL
60190-1100
US

IV. Provider business mailing address

NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL 25 WINFIELD RD
WINFIELD IL
60190-1100
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-6375
  • Fax:
Mailing address:
  • Phone: 773-677-0771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number051.298483
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: