Provider Demographics
NPI:1396027462
Name:MORKER, MANISHA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MANISHA
Middle Name:
Last Name:MORKER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MANISHA
Other - Middle Name:
Other - Last Name:PATEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:270 W LAKE ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-1038
Mailing Address - Country:US
Mailing Address - Phone:630-295-8876
Mailing Address - Fax:630-295-9039
Practice Address - Street 1:270 W LAKE ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-1038
Practice Address - Country:US
Practice Address - Phone:630-295-8876
Practice Address - Fax:630-295-9039
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-15
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-290640183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist