IndividualActive
Tanja Wiersum, PHARMD
NPI 1861093361 · Pharmacist · Johnsburg, IL
Provider details
- NPI number
- 1861093361
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- 051.289153 (IL)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Phone: (815) 344-8137
Approximate (ZIP-level) locationGet directions
Mailing address
3801 Running Brook Farm Blvd
Johnsburg, IL 60051-5425
Registry dates
- Enumerated
- 2020-11-03
- Last updated
- 2020-11-03
- Certified
- 2020-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.