Provider Demographics
NPI:1568560621
Name:WINKLER, SUSAN R (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:R
Last Name:WINKLER
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 1:10917 85TH ST
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1174
Mailing Address - Country:US
Mailing Address - Phone:312-996-0548
Mailing Address - Fax:312-996-0379
Practice Address - Street 1:833 S WOOD ST
Practice Address - Street 2:ROOM 164
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-7229
Practice Address - Country:US
Practice Address - Phone:312-996-0548
Practice Address - Fax:312-996-0379
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy