MRS. ELIZABETH RENEE HOLMBERG (NPI# 1780965616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780965616 |
| Entity Type | Individual |
| Full Name | MRS. ELIZABETH RENEE HOLMBERG |
| Credential | RPH |
| Practice Address |
5500 County Farm Rd Hanover Park IL 60133-5104 |
| Practice Telephone | 6302131809 |
| Practice Fax Number | 6302131833 |
| Mailing Telephone | 6302131809 |
| Mailing Fax Number | 6302131833 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 051038678 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114563871 | Elizabeth Joyce Holmberg | Counselor | 8019 Compton Ave, Los Angeles, CA 90001-3409 | 2019-11-18 |
| Street Address |
5500 COUNTY FARM RD |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841207826 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2006-08-02 |
| 1174942627 | Ali Mehdi | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2014-04-14 |
| 1558794156 | Cindy Sharp | Nurse Practitioner | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2013-08-19 |
| 1437432309 | Avani Shah | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2011-09-27 |
| 1235411059 | Vinod Shah | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2011-09-19 |
| 1699055202 | Tim G Cagney | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2011-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| Find all providers in zip 60133 | ||||
| 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 |
|---|---|---|---|---|
| 1518391788 | Anupam Verma | Pharmacist | 3880 Marine Dr, Hanover Park, IL 60133-6178 | 2013-08-23 |
| 1588945679 | Siddhi S Baralay | Pharmacist | 2225 Greenbay Dr, Hanover Park, IL 60133-6014 | 2011-09-01 |
| 1912213067 | Stephanie L Hasan | Pharmacist | 6954 Hickory St, Hanover Park, IL 60133-3417 | 2010-08-26 |
| 1730271719 | Wan-ki Wendy Lam | Pharmacist | 1160 Brentwood Ct, Hanover Park, IL 60133-2579 | 2006-09-28 |
| 1245842574 | Susan Nguyen | Pharmacist | 7350 Barrington Rd, Hanover Park, IL 60133-3301 | 2020-08-18 |
| 1679974505 | Timothy Cresson | Pharmacist | 2040 Army Trail Rd, Hanover Park, IL 60133-8975 | 2014-09-10 |
| 1174942627 | Ali Mehdi | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2014-04-14 |
| 1366727059 | Keiki Taguchi | Pharmacist | 7350 Barrington Rd, Hanover Park, IL 60133-3301 | 2011-10-13 |
| 1437432309 | Avani Shah | Pharmacist | 5500 County Farm Rd, Hanover Park, IL 60133-5104 | 2011-09-27 |
| 1013290733 | Lysle R Pietsch | Pharmacist | 2040 Army Trail Rd, Hanover Park, IL 60133-8975 | 2011-09-20 |
| Find all providers in HANOVER PARK | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
Please comment or provide details below to improve the information on MRS. ELIZABETH RENEE HOLMBERG.
| 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.