Healthcare Provider Details

I. General information

NPI: 1104068758
Provider Name (Legal Business Name): CHRISTINE ANNE SCHUMACHER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2009
Last Update Date: 12/06/2024
Certification Date: 12/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 N SAINT CLAIR ST STE 18-130
CHICAGO IL
60611-5975
US

IV. Provider business mailing address

555 31ST ST
DOWNERS GROVE IL
60515-1235
US

V. Phone/Fax

Practice location:
  • Phone: 312-695-8630
  • Fax:
Mailing address:
  • Phone: 630-515-7661
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.292957
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number051.292957
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: