IndividualActive
Nicholas Van Hise, PHARMD
NPI 1346937646 · Infectious Diseases Pharmacist · Burr Ridge, IL
Provider details
- NPI number
- 1346937646
- Entity type
- Individual
- Primary specialty
- Infectious Diseases PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 2013027400 (MO)
Practice location
901 Mcclintock Dr Ste 300
Burr Ridge, IL 60527-0872
Phone: (630) 655-6952
Fax: (630) 528-9550
Mailing address
901 Mcclintock Dr Ste 300
Burr Ridge, IL 60527-0872
Registry dates
- Enumerated
- 2023-04-18
- Last updated
- 2023-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.