Provider Demographics
NPI:1821692427
Name:KONRAD, BRITTNEY LEIGH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:BRITTNEY
Middle Name:LEIGH
Last Name:KONRAD
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 1:208 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-3558
Mailing Address - Country:US
Mailing Address - Phone:312-201-5921
Mailing Address - Fax:312-201-5926
Practice Address - Street 1:208 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-3558
Practice Address - Country:US
Practice Address - Phone:312-201-5921
Practice Address - Fax:312-201-5926
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.293696183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist