Provider Demographics
NPI:1831467141
Name:LUKE, PARTHENIA M (RPH)
Entity Type:Individual
Prefix:MS
First Name:PARTHENIA
Middle Name:M
Last Name:LUKE
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 1:8805 S. WABASH AVE.
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-6614
Mailing Address - Country:US
Mailing Address - Phone:773-846-9379
Mailing Address - Fax:
Practice Address - Street 1:347 E 95TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-7356
Practice Address - Country:US
Practice Address - Phone:773-568-6457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051287404183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist