Provider Demographics
NPI:1316920408
Name:DUNMORE, JILL E (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JILL
Middle Name:E
Last Name:DUNMORE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JILL
Other - Middle Name:E
Other - Last Name:DISCHLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:246 CLUBHOUSE ST
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-2059
Mailing Address - Country:US
Mailing Address - Phone:630-759-4142
Mailing Address - Fax:
Practice Address - Street 1:4025 N SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60613-2010
Practice Address - Country:US
Practice Address - Phone:773-528-8314
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22259183500000X
WI12927-040183500000X
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist