Provider Demographics
NPI:1184894792
Name:TONO, CARYN R (PHARMD)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:R
Last Name:TONO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:CARYN
Other - Middle Name:R
Other - Last Name:SHIMADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3939 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60613-2431
Mailing Address - Country:US
Mailing Address - Phone:773-871-7828
Mailing Address - Fax:
Practice Address - Street 1:BLDG #37 5TH & ROOSEVELT RD
Practice Address - Street 2:
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141-5221
Practice Address - Country:US
Practice Address - Phone:773-786-7809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2008-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40213183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist