Provider Demographics
NPI:1417918186
Name:SANOFSKY, CONSTANCE D (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:D
Last Name:SANOFSKY
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 1:183 N ADDISON AVE
Mailing Address - Street 2:ELMHURST MEDICAL ASSOCIATES
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2748
Mailing Address - Country:US
Mailing Address - Phone:630-834-8450
Mailing Address - Fax:630-834-8472
Practice Address - Street 1:183 N ADDISON AVE
Practice Address - Street 2:ELMHURST MEDICAL ASSOCIATES
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-2748
Practice Address - Country:US
Practice Address - Phone:630-834-8450
Practice Address - Fax:630-834-8472
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist