Provider Demographics
NPI:1629352042
Name:WINESKE, LEANN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LEANN
Middle Name:
Last Name:WINESKE
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 1:7311 N MELVINA AVE
Mailing Address - Street 2:
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3905
Mailing Address - Country:US
Mailing Address - Phone:847-972-3002
Mailing Address - Fax:847-972-3009
Practice Address - Street 1:7311 N MELVINA AVE
Practice Address - Street 2:
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3905
Practice Address - Country:US
Practice Address - Phone:847-972-3002
Practice Address - Fax:847-972-3009
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294102183500000X
TN13023183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist