Provider Demographics
NPI:1003081506
Name:ITOKAZU, GAIL S (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GAIL
Middle Name:S
Last Name:ITOKAZU
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 WEST HARRISON ST
Mailing Address - Street 2:JOHN H STROGER JR HOSP OF COOK COUNTY
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-4586
Mailing Address - Fax:312-864-9496
Practice Address - Street 1:1901 WEST HARRISON ST
Practice Address - Street 2:JOHN H STROGER JR HOSP OF COOK COUNTY
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-4586
Practice Address - Fax:312-864-9496
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051 0373111835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist