Provider Demographics
NPI:1417543919
Name:NAILOR, JILL K (RPH)
Entity Type:Individual
Prefix:MRS
First Name:JILL
Middle Name:K
Last Name:NAILOR
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:K
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPH
Mailing Address - Street 1:1918 MCRAE LN
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-1469
Mailing Address - Country:US
Mailing Address - Phone:224-358-0898
Mailing Address - Fax:
Practice Address - Street 1:1918 MCRAE LN
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-1469
Practice Address - Country:US
Practice Address - Phone:224-358-0898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-18
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO044197183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist