Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY DECANIO
Active Sole ProprietorKELLY DECANIO is a Long-Term Care Pharmacy healthcare provider located in DEERFIELD, Illinois. NPI 1669974309 is currently active in the NPPES registry. Verify at CMS.
Long-Term Care Pharmacy · DEERFIELD, IL
Registration Details
- NPI Number
- 1669974309
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 7, 2018 (8.4481370163677 yrs)
- Last Updated
- Mar 7, 2018
- License
-
051298728 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1435 LAKE COOK RDDEERFIELD, IL, 600155213Browse IL providers · Browse ZIP 60015
- Phone
- 8476879974
- Primary Specialty
-
Long-Term Care Pharmacy
3336C0003X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.