| Tanja Wiersum, PHARMD | |
|
3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425 | |
| (815) 344-8137 | |
| Not Available |
| Full Name | Tanja Wiersum |
|---|---|
| Gender | Female |
| Speciality | Pharmacist |
| Location | 3801 Running Brook Farm Blvd, Johnsburg, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861093361 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 051.289153 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tanja Wiersum, PHARMD 3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425 Ph: (815) 344-8137 | Tanja Wiersum, PHARMD 3801 Running Brook Farm Blvd, Johnsburg, IL 60051-5425 Ph: (815) 344-8137 |
Michael Gould, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3801 Running Brook Farm Blvd, Johnsburg, IL 60051 Phone: 815-344-7702 | |
Chi Phu, PHARMD Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 3801 Running Brook Farm Blvd, Johnsburg, IL 60051 Phone: 815-344-8137 Fax: 815-344-8395 |