Provider Demographics
NPI:1649269333
Name:ZUENGLER, DENISE MARY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MARY
Last Name:ZUENGLER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:DENISE
Other - Middle Name:MARY
Other - Last Name:MOKRZYCKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:5226 S MENARD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60638-1516
Mailing Address - Country:US
Mailing Address - Phone:773-585-4128
Mailing Address - Fax:773-585-4128
Practice Address - Street 1:5226 S MENARD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60638-1516
Practice Address - Country:US
Practice Address - Phone:773-585-4128
Practice Address - Fax:773-585-4128
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy