Patcharaporn Keane, PHARMD

Pharmacist · Peru, IL

Individual Active NPI

NPI number 1972199115

Practice location

1004 Shooting Park Rd
Peru, IL 61354-1871
Phone
(815) 224-1411

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NPI record

NPI
1972199115
Entity type
Individual (Type 1)
Enumeration date
December 11, 2020
Last updated
December 11, 2020
Certified
December 11, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 051.296468 IL

Mailing address

4902 N Magnolia Ave Apt 3
Chicago, IL 60640-7546
Phone
(630) 888-2551

Other practice locations (1)

  • 701 Winthrop Ave, Glendale Heights, IL 60139-1405 · (630) 545-7331

About Dr. Keane

Patcharaporn Keane, PHARMD is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 1004 Shooting Park Rd, Peru, IL 61354-1871. The NPI number 1972199115 was assigned on December 11, 2020 and the record was last updated on December 11, 2020.

Dr. Keane lists a license in the registry: #051.296468 (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 Patcharaporn Keane, PHARMD?

The NPI number is 1972199115.

What is the phone number of Dr. Keane?

The phone number listed for the practice location is (815) 224-1411.

Where is Dr. Keane located?

1004 Shooting Park Rd, Peru, IL 61354-1871.

What is the taxonomy code for Dr. Keane?

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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