Provider Demographics
NPI:1326329731
Name:LOVITT, CHRISTINE
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:LOVITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 W EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7301
Mailing Address - Country:US
Mailing Address - Phone:847-303-5642
Mailing Address - Fax:847-303-5674
Practice Address - Street 1:805 W EUCLID AVE
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-7301
Practice Address - Country:US
Practice Address - Phone:847-303-5642
Practice Address - Fax:847-303-5674
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTPCT.0009071183500000X
CARPH36478183500000X
MAPH24309183500000X
IL051.033808183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist