Jeffrey Stark

Pharmacist · Glendale Heights, IL

Individual Active NPI

NPI number 1275905952

Practice location

175 W Army Trail Rd
Glendale Heights, IL 60139-1971
Phone
(630) 582-0065
Fax
(630) 259-1415

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NPI record

NPI
1275905952
Entity type
Individual (Type 1)
Enumeration date
October 21, 2015
Last updated
October 21, 2015
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051036613 IL

About Jeffrey Stark

Jeffrey Stark is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 175 W Army Trail Rd, Glendale Heights, IL 60139-1971. The NPI number 1275905952 was assigned on October 21, 2015 and the record was last updated on October 21, 2015.

Jeffrey Stark lists a license in the registry: #051036613 (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 Jeffrey Stark?

The NPI number is 1275905952.

What is the phone number of Jeffrey Stark?

The phone number listed for the practice location is (630) 582-0065.

Where is Jeffrey Stark located?

175 W Army Trail Rd, Glendale Heights, IL 60139-1971.

What is the taxonomy code for Jeffrey Stark?

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.

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