Provider Demographics
NPI:1922273721
Name:WITSIL, JOANNE C (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:C
Last Name:WITSIL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1901 W HARRISON ST
Mailing Address - Street 2:SUITE LL-170
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3714
Mailing Address - Country:US
Mailing Address - Phone:312-864-5826
Mailing Address - Fax:312-864-9288
Practice Address - Street 1:1901 W HARRISON ST
Practice Address - Street 2:SUITE LL-170
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3714
Practice Address - Country:US
Practice Address - Phone:312-864-5826
Practice Address - Fax:312-864-9288
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-2897411835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist