Provider Demographics
NPI:1457608119
Name:CABAEL, KRISTINE IRENE (PHARMD)
Entity Type:Individual
Prefix:
First Name:KRISTINE IRENE
Middle Name:
Last Name:CABAEL
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 1:100 W RANDOLPH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-3377
Mailing Address - Country:US
Mailing Address - Phone:773-315-5328
Mailing Address - Fax:
Practice Address - Street 1:100 W RANDOLPH ST STE 101
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3377
Practice Address - Country:US
Practice Address - Phone:312-525-3984
Practice Address - Fax:312-525-3987
Is Sole Proprietor?:No
Enumeration Date:2012-08-12
Last Update Date:2023-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5302041210183500000X
IL051296066183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist