Basic Information
| Provider Information | |||||||||
| NPI: | 1407845803 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TORTORICE | ||||||||
| FirstName: | PETER | ||||||||
| MiddleName: | V | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | RPH PHARM D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3610 PAYSPHERE CIR | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606740036 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475857000 | ||||||||
| FaxNumber: | 8472400993 | ||||||||
| Practice Location | |||||||||
| Address1: | 8915 W GOLF RD | ||||||||
| Address2: | FL 1 | ||||||||
| City: | NILES | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607145905 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8478279060 | ||||||||
| FaxNumber: | 8478277196 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | IL | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.