Lysle R. Pietsch

Pharmacist · Hanover Park, IL

Individual Active NPI

NPI number 1013290733

Practice location

2040 Army Trail Rd
Hanover Park, IL 60133-8975
Phone
(630) 830-6451

Open in Google Maps

NPI record

NPI
1013290733
Entity type
Individual (Type 1)
Enumeration date
September 20, 2011
Last updated
September 20, 2011
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051028556 IL

About Lysle Pietsch

Lysle R. Pietsch is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 2040 Army Trail Rd, Hanover Park, IL 60133-8975. The NPI number 1013290733 was assigned on September 20, 2011 and the record was last updated on September 20, 2011.

Lysle Pietsch lists a license in the registry: #051028556 (IL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lysle R. Pietsch?

The NPI number is 1013290733.

What is the phone number of Lysle Pietsch?

The phone number listed for the practice location is (630) 830-6451.

Where is Lysle Pietsch located?

2040 Army Trail Rd, Hanover Park, IL 60133-8975.

What is the taxonomy code for Lysle Pietsch?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Pharmacist providers in Hanover Park

All Pharmacist providers in Hanover Park, IL →