Provider Demographics
NPI:1043314230
Name:LAI, EUNHA (PHARMD,CACP)
Entity type:Individual
Prefix:DR
First Name:EUNHA
Middle Name:
Last Name:LAI
Suffix:
Gender:F
Credentials:PHARMD,CACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:ELMHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60126-2501
Mailing Address - Country:US
Mailing Address - Phone:630-670-5744
Mailing Address - Fax:
Practice Address - Street 1:EDWARD HINES JR. HOSPITAL
Practice Address - Street 2:5TH AVE. AND ROOSEVELT RD.
Practice Address - City:HINES
Practice Address - State:IL
Practice Address - Zip Code:60141
Practice Address - Country:US
Practice Address - Phone:708-202-8387
Practice Address - Fax:708-202-7358
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy