Provider Demographics
NPI:1508979675
Name:NUTESCU, EDITH A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EDITH
Middle Name:A
Last Name:NUTESCU
Suffix:
Gender:F
Credentials:PHARMD
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Mailing Address - Street 1:833 S WOOD ST
Mailing Address - Street 2:ROOM 164; MC 886
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7229
Mailing Address - Country:US
Mailing Address - Phone:312-996-0880
Mailing Address - Fax:312-413-4805
Practice Address - Street 1:1801 W TAYLOR ST
Practice Address - Street 2:SUITE 1C
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-4319
Practice Address - Country:US
Practice Address - Phone:312-355-0117
Practice Address - Fax:312-355-3133
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy