Provider Demographics
NPI:1497353361
Name:ENGLISH, ELEANOR (PHARMD)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:
Last Name:ENGLISH
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 1:910 W HURON ST UNIT 1209
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60642-5968
Mailing Address - Country:US
Mailing Address - Phone:913-710-5975
Mailing Address - Fax:
Practice Address - Street 1:910 W HURON ST UNIT 1209
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60642-5968
Practice Address - Country:US
Practice Address - Phone:913-710-5975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-13
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1-100715183500000X
IL051.303514183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist