Provider Demographics
NPI:1285000992
Name:SETHNESS, DANA CHRISTINE (PHARMD)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:CHRISTINE
Last Name:SETHNESS
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 1:111 DEER LAKE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-4978
Mailing Address - Country:US
Mailing Address - Phone:855-422-7744
Mailing Address - Fax:888-810-2014
Practice Address - Street 1:111 DEER LAKE RD STE 130
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4978
Practice Address - Country:US
Practice Address - Phone:855-422-7744
Practice Address - Fax:888-810-2014
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2022-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.298813183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL051.298813OtherIDFPR