Provider Demographics
NPI:1861601387
Name:WNEK, CHRISTINE ANNETTE (RPH)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:ANNETTE
Last Name:WNEK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 BALTIMORE DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-2735
Mailing Address - Country:US
Mailing Address - Phone:847-584-7552
Mailing Address - Fax:630-773-4068
Practice Address - Street 1:341 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-1325
Practice Address - Country:US
Practice Address - Phone:630-773-8068
Practice Address - Fax:630-773-4068
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist