MEDICARE: PATRYCJA M KLIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.303823	IL

General Provider Information

NPI Number	:	1508539743
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRYCJA M KLIS

Provider Business Mailing Address
First Line	:	2901 N 72ND CT
Second Line	:
City	:	ELMWOOD PARK
State	:	IL
Zip	:	60707-1274
Country	:	US
Telephone Number	:	773-961-6507
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 N HARLEM AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60707-3716
Country	:	US
Telephone Number	:	773-237-8927
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2021
Last Update Date	:	07/25/2021

Similar Medicare Providers

1508841982 — DR. BEATRIZ HUERTAS RIVERA M.D.
Practice Location Address:

1819 N HARLEM AVE STE A
CHICAGO, IL
60707-3716

Practice Phone: 773-589-4385
Practice Fax: 872-228-8601

1699717884 — HIGHLAND PARK CVS LLC
Practice Location Address:

1819 N HARLEM AVE
CHICAGO, IL
60707-3716

Practice Phone: 773-237-8927
Practice Fax:

1346478526 — JODI M ROQUE MD
Practice Location Address:

1819 N HARLEM AVE STE A
CHICAGO, IL
60707-3716

Practice Phone: 773-589-4385
Practice Fax: 872-228-8601

1699370650 — PAUL BELCHAK
Practice Location Address:

1819 N HARLEM AVE
CHICAGO, IL
60707-3716

Practice Phone: 773-237-8927
Practice Fax:

1609440015 — CAROLYN D RETTERER MS,RPH
Practice Location Address:

1819 N HARLEM AVE
CHICAGO, IL
60707-3716

Practice Phone: 773-237-8927
Practice Fax: 773-237-9037

1285333039 — VANDERBILT HOME CARE CORP
Practice Location Address:

1807 N HARLEM AVE
CHICAGO, IL
60707-3716

Practice Phone: 708-477-3033
Practice Fax:

Directions to “ PATRYCJA M KLIS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.