De Pesa, Sandra Lee

De Pesa, Sandra Lee is an individual health care provider with primary practice located at 4708 W 103Rd St , Oak Lawn IL 60453-4706. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. De Pesa, Sandra Lee can be contacted via phone (708) 425-2400.

Contact Information

Primary practice address
4708 W 103Rd St Oak Lawn IL 60453-4706
Phone: (708) 425-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1134288442
LBN Legal business name De Pesa, Sandra Lee
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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