Henry Dunnenberger Iv, PHARMD in Evanston, IL - Medicare Pharmacist Provider

Henry Dunnenberger Iv, PHARMD is a medicare enrolled "Pharmacist" provider in Evanston, Illinois. His current practice location is 2650 Ridge Ave, Evanston, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 570-3119.

Henry Dunnenberger Iv is licensed to practice in Illinois (license number 051297655) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043608516.

Contact Information

	Henry Dunnenberger Iv, PHARMD
	2650 Ridge Ave, Evanston, IL 60201-1718
	(847) 570-3119
	Not Available

Healthcare Provider's Profile

Full Name	Henry Dunnenberger Iv
Gender	Male
Speciality	Pharmacist
Location	2650 Ridge Ave, Evanston, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043608516
Provider Enumeration Date: 01/06/2015
Last Update Date: 01/06/2015

Medicare PECOS Information:

PECOS PAC ID: 1951626514
Enrollment ID: I20150203000672

Medical Identifiers

Medical identifiers for Henry Dunnenberger Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043608516	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
183500000X	Pharmacist	051297655 (Illinois)	Primary
183500000X	Pharmacist	22699 (North Carolina)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Henry Dunnenberger Iv is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Henry Dunnenberger Iv, PHARMD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: () -	Henry Dunnenberger Iv, PHARMD 2650 Ridge Ave, Evanston, IL 60201-1718 Ph: (847) 570-3119

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Pharmacist in Evanston, IL

David Inman, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2491 Howard St, Evanston, IL 60202 Phone: 847-328-9956 Fax: 847-328-9849
Ms. Lynn Boecler, PHARM.D. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2650 Ridge Avenue, Evanston Northwestern Healthcare, Evanston, IL 60201 Phone: 847-570-2206 Fax: 847-570-2990
Kuangwei Huang, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1128 Chicago Ave, Evanston, IL 60202 Phone: 847-869-3520
Blandina Brisku, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2491 Howard St, Evanston, IL 60202 Phone: 847-328-9951 Fax: 847-328-9849
Christina Adriana Magnabosco, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 101 Asbury Ave, Evanston, IL 60202 Phone: 847-905-3300
Angela Heitz, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1711 Sherman Ave, Evanston, IL 60201 Phone: 847-328-3105

Henry Dunnenberger Iv, PHARMD - Medicare Pharmacist in Evanston, IL