Basic Information
Provider Information
NPI: 1033558770
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZEWCZYK
FirstName: LINDA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: RPH.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
183500000X051.033338ILY Pharmacy Service ProvidersPharmacist 

No ID Information.


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