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NPI Code Detail

MEDICARE: BRIAN L HILL R.PH

MEDICARE: BRIAN L HILL R.PH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051037456IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1417224361
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN L HILL R.PH
Provider Business Mailing Address
First Line : 3700 N LAKE SHORE DR
Second Line : #308
City : CHICAGO
State : IL
Zip : 60613-4243
Country : US
Telephone Number : 773-868-1749
Fax Number : 773-868-0881
Provider Business Practice Location Address
First Line : 11 E 75TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60619-1601
Country : US
Telephone Number : 773-224-1211
Fax Number : 773-224-1810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2011
Last Update Date : 11/21/2011

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