Provider Demographics
NPI:1932481553
Name:CHAPMAN, RAMONA N (PHARM D)
Entity Type:Individual
Prefix:
First Name:RAMONA
Middle Name:N
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:RAMONA
Other - Middle Name:N
Other - Last Name:BURRESS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARM D
Mailing Address - Street 1:1554 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-5550
Mailing Address - Country:US
Mailing Address - Phone:773-667-1177
Mailing Address - Fax:
Practice Address - Street 1:1554 E 55TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-5550
Practice Address - Country:US
Practice Address - Phone:773-667-1177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-10
Last Update Date:2011-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051294421183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist