Provider Demographics
NPI:1023734852
Name:SERDENA, CORINNE ANN (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:ANN
Last Name:SERDENA
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:DR
Other - First Name:CORINNE
Other - Middle Name:ANN
Other - Last Name:HILLERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7208 OSAGE AVE # 2
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516-3909
Mailing Address - Country:US
Mailing Address - Phone:847-533-9982
Mailing Address - Fax:
Practice Address - Street 1:1225 S NAPER BLVD
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-8300
Practice Address - Country:US
Practice Address - Phone:630-961-3210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-13
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305160183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist