MEDICARE: DR. JOANNA SZTARK

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	051290740	IL

General Provider Information

NPI Number	:	1598361438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOANNA SZTARK

Provider Business Mailing Address
First Line	:	3101 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4413
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-4413
Country	:	US
Telephone Number	:	773-343-3333
Fax Number	:

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

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	12/07/2020

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Directions to “ DR. JOANNA SZTARK ” Practice Location

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