Provider Demographics
NPI:1174806749
Name:PEREGRINO, APRIL (PHARMD)
Entity type:Individual
Prefix:DR
First Name:APRIL
Middle Name:
Last Name:PEREGRINO
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 1:3201 N BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-3514
Mailing Address - Country:US
Mailing Address - Phone:773-327-3591
Mailing Address - Fax:773-327-3763
Practice Address - Street 1:3201 N BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-3514
Practice Address - Country:US
Practice Address - Phone:773-327-3591
Practice Address - Fax:773-327-3763
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290358183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist