MS. ROBERTA HUNTER ZICCARELLI (NPI# 1801125547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801125547 |
| Entity Type | Individual |
| Full Name | MS. ROBERTA HUNTER ZICCARELLI |
| Credential | MS, RPH |
| Practice Address |
8700 W Bryn Mawr Ave Ste 700n Chicago IL 60631-3509 |
| Mailing Address |
1725 Tallgrass Ln Lake Forest IL 60045-4858 |
| Practice Telephone | 7736321685 |
| Mailing Telephone | 8477736321 |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2009-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
051-036405 | IL | Pharmacy Service Providers |
| Street Address |
8700 W BRYN MAWR AVE STE 700N |
| City | CHICAGO |
| State | IL |
| Zip Code | 60631-3509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686609 | Martha Agnes Bissing | Student in an Organized Health Care Education/Training Program | Resurrection Medical Education, Karen Dwulat, 7435 W. Talcott Avenue, Chicago, IL 60631 | 2020-04-01 |
| 1497383434 | Kathryn Lee Hughes | Student in an Organized Health Care Education/Training Program | 7435 W Talcott Avenue, Medical Education, Karen Dwulat, Chicago, IL 60631 | 2020-03-27 |
| 1245723121 | Thomas Walsh | Student in an Organized Health Care Education/Training Program | Resurrection Family Medicine 7447 W Talcott Ave, Ste 182, Chicago, IL 60631 | 2018-06-14 |
| 1912411893 | Briggs Therapy Group, LLC | Social Worker | 6645 N Oliphant Ave Ste F, Chicago, IL 60631 | 2017-11-29 |
| 1013467257 | Elsa Methipara | Nurse Practitioner | 6429 N Ogallah, Chicago, IL 60631 | 2016-10-12 |
| 1477001766 | Djje Holdings LLC | Psychologist | 8609 W Bryn Mawr Ave Ste 204, Chicago, IL 60631 | 2016-09-14 |
| 1538512884 | Sprout Pediatric Dentistry | Dentist | 6036 North Northwest Highway, Chicago, IL 60631 | 2016-07-21 |
| 1417305137 | Christopher Louis Scodeller | Emergency Medicine | 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 | 2016-06-03 |
| 1518315464 | Corbin Barwegen | Emergency Medicine | 7435 W. Talcott Ave., Chicago, IL 60631 | 2016-06-01 |
| 1013304724 | Elliott T. Deweese | Dentist | 7447 W Talcott Ave., Suite 227, Chicago, IL 60631 | 2015-04-20 |
| Find all providers in zip 60631 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099253 | Kelsey Schultz | Pharmacist | 1058 N Paulina St Apt 2, Chicago, IL 60622-3918 | 2020-09-28 |
| 1922661230 | Devon Burhoe | Pharmacist | 833 S Wood St Ste 164, Chicago, IL 60612-7229 | 2019-04-22 |
| 1649743626 | Phoebe Sebhatu Lebeau | Pharmacist | 1725 W Harrison St Ste 104, Chicago, IL 60612-3832 | 2019-01-02 |
| 1730566233 | Glen Pietrandoni | Pharmacist | 2100 N Racine Ave, 4d, Chicago, IL 60614-4060 | 2015-05-04 |
| 1952732570 | Joy Ezidinma | Pharmacist | 3302 W Crystal St, Unit 2, Chicago, IL 60651-2375 | 2013-12-07 |
| 1851638605 | Marketa Marvanova | Pharmacist | 9501 S. King Drive, Douglas Hall 203-23, Chicago State University College of Pharmacy, Chicago, IL 60628 | 2013-01-14 |
| 1255601753 | Viktorija O Trakis | Pharmacist | 675 N Peoria St Apt 2n, Chicago, IL 60642-8324 | 2011-12-31 |
| 1558664896 | Jaini Patel | Pharmacist | 2535 South Martin Luther King Drive, Chicago, IL 60616 | 2010-12-08 |
| 1780997684 | Roger Allen Wilcox | Pharmacist | 6 E Monroe St Ste 1304, Chicago, IL 60603-2728 | 2010-07-20 |
| 1851604102 | Angela M. Plewa | Pharmacist | 1901 W Harrison St # Ll175, Chicago, IL 60612-3714 | 2010-07-15 |
| 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.