Provider Demographics
NPI:1417380866
Name:WINDISH, CATHERINE LYNN (RPH)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LYNN
Last Name:WINDISH
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 1:108 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:61529-7963
Mailing Address - Country:US
Mailing Address - Phone:309-742-2611
Mailing Address - Fax:309-742-3261
Practice Address - Street 1:119 S WESTFIELD DR
Practice Address - Street 2:
Practice Address - City:ELMWOOD
Practice Address - State:IL
Practice Address - Zip Code:61529-9680
Practice Address - Country:US
Practice Address - Phone:309-742-2611
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051030477183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist