Provider Demographics
NPI:1134400666
Name:CAMPAGNA, MARGHERITA (PHARMD)
Entity type:Individual
Prefix:
First Name:MARGHERITA
Middle Name:
Last Name:CAMPAGNA
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 1:155 E BRUSH HILL RD
Mailing Address - Street 2:SUITE D1543
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-5658
Mailing Address - Country:US
Mailing Address - Phone:630-833-3724
Mailing Address - Fax:630-833-4307
Practice Address - Street 1:155 E BRUSH HILL RD
Practice Address - Street 2:SUITE D1543
Practice Address - City:ELMHURST
Practice Address - State:IL
Practice Address - Zip Code:60126-5658
Practice Address - Country:US
Practice Address - Phone:630-833-3724
Practice Address - Fax:630-833-4307
Is Sole Proprietor?:No
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051291608183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist