Basic Information
| Provider Information | |||||||||
| NPI: | 1033558770 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SZEWCZYK | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | RPH. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4 PATRICIA LN | ||||||||
| Address2: | |||||||||
| City: | PROSPECT HEIGHTS | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600701644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472590314 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 335 E EUCLID AVE | ||||||||
| Address2: | |||||||||
| City: | MOUNT PROSPECT | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600561288 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8472556030 | ||||||||
| FaxNumber: | 8472552203 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/16/2013 | ||||||||
| LastUpdateDate: | 06/16/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 183500000X | 051.033338 | IL | Y | Pharmacy Service Providers | Pharmacist |
No ID Information.