MR. MARK C. GERACI (NPI# 1396824645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396824645 |
| Entity Type | Individual |
| Full Name | MR. MARK C. GERACI |
| Credential | PHARM.D. |
| Practice Address |
1st Avenue 1 Block North of Cermak Building 37 Room 139 Hines IL 60141 |
| Mailing Address |
728 S Harvey Ave Oak Park IL 60304-1519 |
| Practice Telephone | 7087867866 |
| Practice Fax Number | 7087867989 |
| Mailing Telephone | 7087867866 |
| Mailing Fax Number | 7087867989 |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528158201 | Mark W Geraci | Internal Medicine | 550 University Blvd, Indianapolis, IN 46202-5149 | 2006-10-13 |
| Street Address |
1ST AVENUE 1 BLOCK NORTH OF CERMAK BUILDING 37 ROOM 139 |
| City | HINES |
| State | IL |
| Zip Code | 60141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992273056 | Donizetti Razo | Social Worker | 5000 S. Fifth Avenue, Building 228, Room 4078, Hines, IL 60141 | 2018-11-07 |
| 1558838086 | Michael Calia | Social Worker | Patient Advocate Office #122, Edward Hines Jr. Va Hospital, 5000 S. 5th Avenue, Hines, IL 60141 | 2018-11-02 |
| 1639684640 | David Alan Edwards | Specialist/Technologist | 5000 S 5ht Ave, Building 113, Hines, IL 60141 | 2017-12-13 |
| 1689189706 | Joseph Jorgenson | Rehabilitation Practitioner | Hines Brc Bld 113, 5000 S 5th Ave, 124, Hines, IL 60141 | 2017-12-12 |
| 1154836823 | Kristy Bassett | Social Worker | 5000 S 5th Ave Bldg 2284n, Hines, IL 60141 | 2017-12-04 |
| 1396269387 | Aaron Jerome Brown | Kinesiotherapist | 5000 S 5th. Ave., Hines, IL 60141 | 2017-08-01 |
| 1932454634 | Michael Ladra Marquez | Physical Therapist | 5000 South 5th Ave., Edward Hines Jr. Va Hospital, Hines, IL 60141 | 2012-07-18 |
| 1437489713 | Linda Christime Bronski | Social Worker | Fifth Ave and Roosevelt Ave Bldg 228, Edward Hines Jr Va Hospital, Hines, IL 60141 | 2010-01-08 |
| 1700113859 | Sarah Jean Ostrowski | Recreation Therapist | 2100 S 5th Ave, Hines, IL 60141 | 2009-11-11 |
| 1841447299 | Narayanarao Madamala | Pharmacist | Hines Consolidated Mail Out Pharmacy, Building 37nw, Hines, IL 60141 | 2008-08-27 |
| Find all providers in zip 60141 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790869857 | Steven Lenz | Pharmacist | 5th and Roosevelt Rd, Hines, IL 60141 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740835800 | Lisa Raff | Pharmacist | 800 Biesterfield Rd Ste 210, Elk Grove Village, IL 60007-3363 | 2019-08-06 |
| 1598190449 | Ashwin Shah | Pharmacist | 1305 N Foxdale Dr, Addison, IL 60101-5713 | 2013-09-11 |
| 1710101969 | Hema A Patel | Pharmacist | 6726 Sweetbriar Ln, Darien, IL 60561-3674 | 2007-04-12 |
| 1629194642 | Jamie Frances Sovcik | Pharmacist | 2300 N Children's Plaza, Box 74, Chicago, IL 60614 | 2007-03-21 |
| 1063544617 | Lora Ethelyn Bertell | Pharmacist | 11829 Banchary Rd, Belvidere, IL 61008-7175 | 2007-03-09 |
| 1013057157 | Thakore N Patel | Pharmacist | 2614 W. Jefferson Street, Joliet, IL 60435 | 2007-02-07 |
| 1578629952 | Latha Radhakrishnan | Pharmacist | 833 S Wood Room 164, University of Illinois, College of Pharmacy Mc 886, Chicago, IL 60612 | 2006-12-29 |
| 1427137827 | Sandra Cuellar Puri | Pharmacist | 833 S Wood St # 886, Suite 164, Chicago, IL 60612-7229 | 2006-11-04 |
| 1710507025 | Peter Wu | Pharmacist | 1725 W Harrison St, Chicago, IL 60612-3841 | 2020-04-16 |
| 1154881415 | Trevor Nelson Christ | Pharmacist | 1725 W Harrison St Ste 1059, Chicago, IL 60612-3841 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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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.