Wirth, Priyatma
Wirth, Priyatma is an individual health care provider with primary practice located at 5000 S 5Th Ave Building 217, Room 2B7, Hines IL 60141-3030. She recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Geriatric is her primary health care specialty. Wirth, Priyatma can be contacted via phone (708) 202-2134.Contact Information
Primary practice address
5000 S 5Th Ave Building 217, Room 2B7
Hines IL 60141-3030
Phone: (708) 202-2134
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 051292065 | Illinois |
| Pharmacy Service Providers / Geriatric | 1835G0303X | 051292065 | Illinois |
Profile Details
| NPI number | 1659537934 |
|---|---|
| LBN Legal business name | Wirth, Priyatma |
| Credentials | PHARM.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2008 |
| Last updated | Nov 7th, 2023 - 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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