Provider Demographics
NPI:1649521147
Name:PATTERSON, COURTNEY JANAE (PHARMD)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:JANAE
Last Name:PATTERSON
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 1:910 W LAKE ST
Mailing Address - Street 2:#4F
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60607-1710
Mailing Address - Country:US
Mailing Address - Phone:312-965-0917
Mailing Address - Fax:
Practice Address - Street 1:2025 WINDSOR DR
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-1586
Practice Address - Country:US
Practice Address - Phone:630-990-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.2945751835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology