Healthcare Provider Details

I. General information

NPI: 1841577558
Provider Name (Legal Business Name): JOSEPH A MARZEC RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/08/2011
Last Update Date: 01/11/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 W 79TH ST
BURBANK IL
60459-1406
US

IV. Provider business mailing address

5400 W 79TH ST
BURBANK IL
60459-1406
US

V. Phone/Fax

Practice location:
  • Phone: 708-499-3755
  • Fax: 708-499-1309
Mailing address:
  • Phone: 708-499-3755
  • Fax: 708-499-1309

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051030050
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: