Provider Demographics
NPI:1497358378
Name:ELLIOTT, STERLING SETH (PHARMD, BCMTMS)
Entity Type:Individual
Prefix:DR
First Name:STERLING
Middle Name:SETH
Last Name:ELLIOTT
Suffix:
Gender:M
Credentials:PHARMD, BCMTMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 MALLARD DR
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-6643
Mailing Address - Country:US
Mailing Address - Phone:847-271-6025
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST # LC700
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-2908
Practice Address - Country:US
Practice Address - Phone:312-472-5794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-20
Last Update Date:2020-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.2922621835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy