NPI 1083217285

Steven Jeffrey Blum, RPH

Practitioner Pharmacist Mundelein, IL

Practice location

Address: 1101 W Maple Ave, Mundelein, IL 60060-1437
Phone: (847) 949-2090
Mailing address: 3530 Melody St, Mundelein, IL 60060-6011

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 051.032149 (IL)

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Registry record

NPI: 1083217285
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Nov 2020
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.