TEODORA CANICK (NPI# 1285234054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285234054 |
| Entity Type | Individual |
| Full Name | TEODORA CANICK |
| Practice Address |
1050 N Rohlwing Rd Addison IL 60101-1034 |
| Mailing Address |
309 Juliana Ln Bloomingdale IL 60108-8803 |
| Practice Telephone | 6308891956 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051.288505 | IL | Pharmacy Service Providers |
| Street Address |
1050 N ROHLWING RD |
| City | ADDISON |
| State | IL |
| Zip Code | 60101-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023035326 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2006-07-16 |
| 1497238216 | Jennifer Marie Fromberg | Optometrist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2018-09-07 |
| 1326231739 | Amal M. Hassan | Optometrist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2007-08-20 |
| 1225111800 | Wal-mart Stores, Inc | Technician/Technologist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2006-10-24 |
| 1558461343 | Toseef Hasan O.d. Ltd | Optometrist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2006-09-22 |
| 1942310743 | Toseef Hasan | Optometrist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912445800 | Allure Skin and Laser | Nurse Practitioner | 240 E Lake Street, Addison, IL 60101 | 2017-02-10 |
| 1912444662 | Iulia Kaulinite | Registered Nurse | 1845 East Army Trail Road, Addison, IL 60101 | 2017-01-19 |
| 1164891727 | Sonic Imaging Inc | Clinic/Center | 4n277 9th Ave, Addison, IL 60101 | 2015-09-24 |
| 1881001147 | Evelina Rodriguez | Interpreter | 102 S. Grant Drive, Addison, IL 60101 | 2014-07-18 |
| 1821426867 | Carrie Lyne M Mathiesen | Physical Medicine & Rehabilitation | 2375 S. Randall Rd, Algonquin, IL 60101 | 2013-10-30 |
| 1972949634 | Vascular Diagnostic LLC | Clinic/Center | 2166, W Silverleaf Ln, Addison, IL 60101 | 2013-05-21 |
| 1134401409 | Colleen Ann O'brien | Occupational Therapist | 222 North Kennedy Dr., Addison, IL 60101 | 2011-09-13 |
| 1962700096 | Pharma Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 970 Lake St Suite 109, Roselle, IL 60101 | 2011-03-15 |
| 1235372947 | Nancy M Ngo | Dentist | 200 W. Lake Street, Addison, IL 60101 | 2009-04-10 |
| 1326288275 | Familia Dental | Dentist | 200 West Lake Street, Addison, IL 60101 | 2009-03-04 |
| Find all providers in zip 60101 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720667 | Mary Rae Butler | Pharmacist | 344 E Palmer Ave, Addison, IL 60101-4027 | 2020-11-02 |
| 1760094379 | Rabia Choudhry | Pharmacist | 731 N Swift Rd, Addison, IL 60101-1661 | 2020-08-17 |
| 1639452196 | Farooque Khan | Pharmacist | 1111 W Rugeley Ct, Addison, IL 60101-2154 | 2011-09-21 |
| 1265714711 | Simon James Staub | Pharmacist | 3n471 Meadow Rd, Addison, IL 60101-1408 | 2011-09-11 |
| 1144367731 | Mary Ellen Foster | Pharmacist | 220 N Cardinal Ave, Addison, IL 60101-2911 | 2007-01-31 |
| 1619069713 | Nikhilesh V Patel | Pharmacist | 511 W Lake St, Addison, IL 60101-2306 | 2006-09-28 |
| 1881607596 | Dexter W Hearn | Pharmacist | 70 Mchann Rd, Addison, AL 35540-2138 | 2006-08-14 |
| 1033133947 | Douglas Eric Heidbreder | Pharmacist | 100 W. Main Street, Addison, MI 49220 | 2006-07-26 |
| 1417557141 | Samarth Brahmbhatt I | Pharmacist | 1006 N Rohlwing Rd, Addison, IL 60101-1034 | 2020-10-30 |
| 1407468234 | Sen My Nguyen | Pharmacist | 16 E Lake St, Addison, IL 60101-2819 | 2020-08-22 |
| Find all providers in ADDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.