Provider Demographics
NPI:1225486913
Name:AULENTA, BIBIANA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BIBIANA
Middle Name:
Last Name:AULENTA
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 1:6507 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031-1643
Mailing Address - Country:US
Mailing Address - Phone:847-855-0990
Mailing Address - Fax:847-855-0997
Practice Address - Street 1:6507 GRAND AVE
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-1643
Practice Address - Country:US
Practice Address - Phone:847-855-0990
Practice Address - Fax:847-855-0997
Is Sole Proprietor?:No
Enumeration Date:2016-06-02
Last Update Date:2016-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291015183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist