Provider Demographics
NPI:1760534028
Name:PARENT-STEVENS, LOUISE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:
Last Name:PARENT-STEVENS
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 1:236 S RIDGELAND AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-3226
Mailing Address - Country:US
Mailing Address - Phone:708-445-0055
Mailing Address - Fax:312-996-0379
Practice Address - Street 1:833 S WOOD STREET
Practice Address - Street 2:DEPARTMENT OF PHARMACY PRACTICE MC886
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-355-3179
Practice Address - Fax:312-996-0379
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH36819183500000X
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy