Provider Demographics
NPI:1720214315
Name:SPEARES LEHMAN, JENNIFER (RPH)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SPEARES LEHMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3333 BEVERLY RD # BC259A
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60179-0001
Mailing Address - Country:US
Mailing Address - Phone:847-286-5116
Mailing Address - Fax:847-747-1492
Practice Address - Street 1:3333 BEVERLY RD # BC259A
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60179-0001
Practice Address - Country:US
Practice Address - Phone:847-286-5116
Practice Address - Fax:847-747-1492
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-09
Last Update Date:2020-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC9926183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist