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Deactivated NPI 1770745606 Deactivated / Inactive NPI Male Practitioner

Jerome David Midanek

Pharmacist • Hines, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jerome Midanek has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2008
NPI Deactivation Date August 03, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Jerome Midanek was a registered Pharmacist practicing in Hines, IL. Throughout an active medical career spanning 9 years, Jerome Midanek provided care at the practice location at 5TH AVE & ROOSEVELT RD BUILDING 37 NW until profile deactivation on 2017-08-03.

Practice Location & Contact Primary Location

Practice Address

5th Ave & Roosevelt Rd Building 37 Nw

Hines, IL 601415221

Telephone 1708473620

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hines, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
196 Specialists

Practicing in Hines, IL (9983 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License IL 051025667

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated August 03, 2017

Record deactivated on August 03, 2017

NPI Profile Active July 01, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2008

Registered at 5TH AVE & ROOSEVELT RD BUILDING 37 NW, HINES, IL 601415221 (Tel: 1708473620)

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Updated Business Mailing Address July 01, 2008

Registered at 5TH AVE & ROOSEVELT RD BUILDING 37 NW, HINES, IL 601415221

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Provider Name / Credentials Updated July 01, 2008

Recorded as JEROME MIDANEK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2008

Pharmacist (License #051025667 in IL)

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Initial NPI Registration & Enumeration July 01, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770745606
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2008
Last Update: July 01, 2008
Deactivation Date: August 03, 2017

Mailing Address

5th Ave & Roosevelt Rd Building 37 Nw

Hines, IL 601415221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.