DEJAN LANDUP (NPI# 1376037325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376037325 |
| Entity Type | Individual |
| Full Name | DEJAN LANDUP |
| Credential | PHARMD |
| Practice Address |
1357 W 103rd St Chicago IL 60643-2392 |
| Mailing Address |
267 N Glenview Ave Elmhurst IL 60126-2517 |
| Practice Telephone | 7738817250 |
| Mailing Telephone | 6302907777 |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2018-06-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
051.295831 | IL | Pharmacy Service Providers |
| N | 1835P2201X |
Pharmacist Specialization: Ambulatory Care |
051.295831 | IL | Pharmacy Service Providers |
| Street Address |
1357 W 103RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60643-2392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801055983 | Prentiss B Taylor | Internal Medicine | 1357 W 103rd St, Chicago, IL 60643-2392 | 2008-06-04 |
| 1598255689 | Habiba P Ayanlaja | Nurse Practitioner | 1357 W 103rd St, Chicago, IL 60643-2392 | 2018-05-14 |
| 1316441389 | Jennifer Bolognani | Nurse Practitioner | 1357 W 103rd St, Chicago, IL 60643-2392 | 2018-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941698 | Breann Hampton | Behavior Technician | 1214 W 115th St, Chicago, IL 60643 | 2020-04-24 |
| 1366075566 | Sanctuary Counseling, LLC | Home Health | 12247 S Racine Ave, Calumet Park, IL 60643 | 2020-02-16 |
| 1467082883 | Juliana Frances Cunningham | Developmental Therapist | 10037 S Bell, Chicago, IL 60643 | 2020-01-24 |
| 1013578624 | Sct Counseling | Counselor | 11948 S Western Ave, Chicago, IL 60643 | 2019-06-25 |
| 1073087474 | For Eyes Optical Company of Pa | Optometrist | 9900 S Ridgleland Ave, Chicago Ridge, IL 60643 | 2019-01-18 |
| 1073096426 | Derek Peake | Physical Therapist | 9465 S. Western Road, Chicago, IL 60643 | 2018-09-12 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1811405699 | Kara Eileen Noland | Developmental Therapist | 9327 S Hamilton Ave, Chicago, IL 60643 | 2018-01-16 |
| 1588173546 | Kiah Nicole Bouie | Behavioral Analyst | 1461 W 113th Pl, Chicago, IL 60643 | 2017-09-21 |
| 1174042766 | Travis Wade Robertson | Physical Therapist | 10909-11 S Western Ave, Beverly, IL 60643 | 2017-09-14 |
| Find all providers in zip 60643 | ||||
| Taxonomy Code | 1835P1200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacotherapy |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386263234 | Pooja Ramnani | Pharmacist | 5841 S Maryland Ace, Chicago, IL 60637 | 2020-04-10 |
| 1114382314 | Archariya Puangampai | Pharmacist | 4178 S Emerald Ave, Chicago, IL 60609-2645 | 2015-12-15 |
| 1578822987 | Melissa Badowski | Pharmacist | 1940 W Taylor St, Room 312, Chicago, IL 60612-7351 | 2012-05-07 |
| 1578848321 | Oneil Joseph Betrrand | Pharmacist | 10107 S Calumet Ave, Chicago, IL 60628-2101 | 2011-10-12 |
| 1760791602 | Kavita Naik | Pharmacist | 4020 N Damen Ave Unit 506, Chicago, IL 60618-3082 | 2010-09-27 |
| 1225191497 | Julie Golembiewski | Pharmacist | 1740 W. Taylor Street, Suite 3200, Mc 515, Chicago, IL 60612-7239 | 2006-12-19 |
| 1366521973 | Thuy Thi Pham | Pharmacist | 833 South Wood Street, Room 164, Department of Pharmacy Practice (mc 886), Chicago, IL 60612-7230 | 2006-11-03 |
| 1962588509 | Charles E Mcpherson IIi | Pharmacist | 833 S. Wood St., Rm 164 M/c 886, Chicago, IL 60612 | 2006-10-27 |
| 1275636573 | Sheila M Allen | Pharmacist | 2545 S. Martin Luther King Dr, Specialty 7, Chicago, IL 60616 | 2006-09-06 |
| 1669575924 | Tania Geroge John | Pharmacist | 820 South Damen Ave (m/c 119), Chicago, IL 60612 | 2006-09-05 |
| Find all providers in CHICAGO | ||||
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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.