Provider Demographics
NPI:1437151685
Name:HOPE, CHARLENE A (PHARMD, MS, BCPS)
Entity Type:Individual
Prefix:DR
First Name:CHARLENE
Middle Name:A
Last Name:HOPE
Suffix:
Gender:F
Credentials:PHARMD, MS, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 N ALBANY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-5010
Mailing Address - Country:US
Mailing Address - Phone:312-961-1938
Mailing Address - Fax:
Practice Address - Street 1:1732 N ALBANY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-5010
Practice Address - Country:US
Practice Address - Phone:312-961-1938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-01
Last Update Date:2015-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-2859271835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy