Healthcare Provider Details

I. General information

NPI: 1649269333
Provider Name (Legal Business Name): DENISE MARY ZUENGLER PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: DENISE MARY MOKRZYCKI PHARMD

II. Dates (important events)

Enumeration Date: 10/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5226 S MENARD AVE
CHICAGO IL
60638-1516
US

IV. Provider business mailing address

5226 S MENARD AVE
CHICAGO IL
60638-1516
US

V. Phone/Fax

Practice location:
  • Phone: 773-585-4128
  • Fax: 773-585-4128
Mailing address:
  • Phone: 773-585-4128
  • Fax: 773-585-4128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P1200X
TaxonomyPharmacotherapy Pharmacist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: