Provider Demographics
NPI:1508972571
Name:LEVESQUE, CHASITIE MARION (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:CHASITIE
Middle Name:MARION
Last Name:LEVESQUE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:21215 GRAY HAWK DR
Mailing Address - Street 2:
Mailing Address - City:MATTESON
Mailing Address - State:IL
Mailing Address - Zip Code:60443-3305
Mailing Address - Country:US
Mailing Address - Phone:312-569-7937
Mailing Address - Fax:312-569-8122
Practice Address - Street 1:820 S DAMEN AVE # 119
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-7937
Practice Address - Fax:312-569-8122
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy