Individual
DR. JILL M UNDERBERG
Active
Individual
DR. JILL M UNDERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12258-040
WI
1835P2201X
Ambulatory Care Pharmacist
Primary
12258-040
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89455
VA#
WI
Enumeration date
07/16/2006
Last updated
06/29/2026
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