Provider Demographics
NPI:1023612538
Name:HAWKER, JAYME LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JAYME
Middle Name:LYNN
Last Name:HAWKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:809 PLAINFIELD RD
Mailing Address - Street 2:
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435-4642
Mailing Address - Country:US
Mailing Address - Phone:815-727-8702
Mailing Address - Fax:815-727-8707
Practice Address - Street 1:809 PLAINFIELD RD
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-4642
Practice Address - Country:US
Practice Address - Phone:815-727-8702
Practice Address - Fax:815-727-8707
Is Sole Proprietor?:No
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292488183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist