Provider Demographics
NPI:1326245937
Name:CESAROTTI, MAUREEN C (RPH)
Entity Type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:C
Last Name:CESAROTTI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 LEE ST
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-1517
Mailing Address - Country:US
Mailing Address - Phone:847-299-6363
Mailing Address - Fax:847-299-3209
Practice Address - Street 1:1480 LEE ST
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-1517
Practice Address - Country:US
Practice Address - Phone:847-299-6363
Practice Address - Fax:847-299-3209
Is Sole Proprietor?:No
Enumeration Date:2007-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-0032330183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist