Provider Demographics
NPI:1083700678
Name:CHAN-SEW, ANTHONY (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:
Last Name:CHAN-SEW
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 S 5TH AVE PHARMACY 119
Mailing Address - Street 2:BLDG 200 RM B128 VA HINES HOSPITAL
Mailing Address - City:HINES
Mailing Address - State:IL
Mailing Address - Zip Code:60141-0000
Mailing Address - Country:US
Mailing Address - Phone:708-202-8387
Mailing Address - Fax:708-202-2088
Practice Address - Street 1:5000 S 5TH AVE
Practice Address - Street 2:VA HINES HOSPITAL, PHARMACY 119, BLDG 200 B128
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-3030
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-2088
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2008-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist