Provider Demographics
NPI:1912287533
Name:KANG, ESTHER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:
Last Name:KANG
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 1:811 GREEN BAY RD
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2519
Mailing Address - Country:US
Mailing Address - Phone:847-256-0881
Mailing Address - Fax:847-256-4871
Practice Address - Street 1:811 GREEN BAY RD
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-2519
Practice Address - Country:US
Practice Address - Phone:847-256-0881
Practice Address - Fax:847-256-4871
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051295228183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist