Provider Demographics
NPI:1043298797
Name:MCLAUGHLIN, KEVIN A (PHARMD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:A
Last Name:MCLAUGHLIN
Suffix:
Gender:M
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:PO BOX 208731
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-8731
Mailing Address - Country:US
Mailing Address - Phone:773-445-9277
Mailing Address - Fax:773-445-8829
Practice Address - Street 1:1633 W 95TH ST
Practice Address - Street 2:ATTN: PHARMACY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-1331
Practice Address - Country:US
Practice Address - Phone:773-445-9277
Practice Address - Fax:773-445-3015
Is Sole Proprietor?:No
Enumeration Date:2006-01-04
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-289348183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist