Provider Demographics
NPI:1851611529
Name:STENZEL, MELISSA RACHAEL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:RACHAEL
Last Name:STENZEL
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 1:1001 S SUTTON RD
Mailing Address - Street 2:
Mailing Address - City:STREAMWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60107
Mailing Address - Country:US
Mailing Address - Phone:630-372-3331
Mailing Address - Fax:630-372-3331
Practice Address - Street 1:1001 S SUTTON RD
Practice Address - Street 2:
Practice Address - City:STREAMWOOD
Practice Address - State:IL
Practice Address - Zip Code:60107
Practice Address - Country:US
Practice Address - Phone:630-371-3331
Practice Address - Fax:630-372-3331
Is Sole Proprietor?:No
Enumeration Date:2010-06-04
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294133183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist