| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATELYN NOELLE WISINSKI | 1922602861 | 2020-11-22 |
Katelyn Noelle Wisinski is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1922602861. Registration indicates Katelyn Noelle Wisinski is a provider of services with a specialization in Pharmacy Service Providers, Pharmacist (Pharmacist, ) (Pharmacist, Pharmacy Service Providers)
| Entity Type | Individual |
| Provider Name | Katelyn Noelle Wisinski PHARMD |
| Practice Office Address | 16 S WAUKEGAN RD DEERFIELD, IL US |
| Practice Office Telephone | 8472727481 |
| Mailing Address | 16 S WAUKEGAN RD DEERFIELD, IL 600155216 US |
| Business Telephone | 8472727481 |
| Code | Practice | License No State |
|---|---|---|
| 183500000X PRIMARY | Pharmacy Service Providers Pharmacist Pharmacist Pharmacist Pharmacy Service Providers | 051303606
IL |