Provider Demographics
NPI:1649372681
Name:D'SOUZA, JENNIFER JULIE (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JULIE
Last Name:D'SOUZA
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:HEALTH MANAGEMENT
Mailing Address - Street 2:1870 W. GALENA BLVD
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506
Mailing Address - Country:US
Mailing Address - Phone:630-906-5285
Mailing Address - Fax:630-859-6811
Practice Address - Street 1:HEALTH MANAGEMENT
Practice Address - Street 2:1870 W. GALENA BLVD
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506
Practice Address - Country:US
Practice Address - Phone:630-906-5285
Practice Address - Fax:630-859-6811
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist