Delor, Jeremy Steven

Delor, Jeremy Steven is an sole proprietor health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. He recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacotherapy, Pharmacy Service Providers / Ambulatory Care, Pharmacy Service Providers / Pharmacist. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Delor, Jeremy Steven can be contacted via phone (312) 355-3031.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Phone: (312) 355-3031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X 051302461 Illinois
Pharmacy Service Providers / Ambulatory Care 1835P2201X 10874003-1701 Utah
Pharmacy Service Providers / Pharmacist 183500000X 051302461 Illinois

Profile Details

NPI number 1083203723
LBN Legal business name Delor, Jeremy Steven
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2021
Last updated Feb 3rd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083203723 NPPES
Illinois Other 051302461 ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

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