MEDICARE: MARY SOUTHARD RPH

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
1	183500000X	Pharmacist	051035853	IL

General Provider Information

NPI Number	:	1417318072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY SOUTHARD RPH

Provider Business Mailing Address
First Line	:	1006 LINDEN AVE
Second Line	:
City	:	WILMETTE
State	:	IL
Zip	:	60091-2734
Country	:	US
Telephone Number	:	612-345-0263
Fax Number	:

Provider Business Practice Location Address
First Line	:	2775 SANDERS RD
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-6110
Country	:	US
Telephone Number	:	847-402-9400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2016
Last Update Date	:	03/10/2016

Similar Medicare Providers

1588940019 — PREMISE HEALTH OF ILLINOIS MEDICAL PC
Practice Location Address:

2775 SANDERS RD , SUITE C1
NORTHBROOK, IL
60062-6110

Practice Phone: 703-760-0700
Practice Fax:

1023237591 — DR. MICHAEL BERNARD GRAHAM M.D.
Practice Location Address:

2775 SANDERS RD , SUITE C1
NORTHBROOK, IL
60062-6110

Practice Phone: 847-402-8775
Practice Fax: 847-326-9419

1881994002 — MRS. ANNA ROHAN HEALY P.A.
Practice Location Address:

2775 SANDERS RD STE C1
NORTHBROOK, IL
60062-6110

Practice Phone: 847-402-2300
Practice Fax: 847-402-2600

1023389434 — PHARMACY HEALTHCARE SOLUTIONS LTD
Practice Location Address:

2775 SANDERS RD STE C1
NORTHBROOK, IL
60062-6110

Practice Phone: 847-402-9400
Practice Fax: 847-402-9420

1487505111 — NABA FATIMA ZAIDI
Practice Location Address:

1135 SKOKIE BLVD
NORTHBROOK, IL
60062-4118

Practice Phone: 847-441-5600
Practice Fax:

1194026203 — ADVANCED INTERNAL MEDICINE ASSOCIATES INC
Practice Location Address:

666 DUNDEE RD STE 802
NORTHBROOK, IL
60062-2734

Practice Phone: 847-498-1515
Practice Fax: 847-498-2362

Directions to “ MARY SOUTHARD RPH” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.