Healthcare Provider Details

I. General information

NPI: 1992087878
Provider Name (Legal Business Name): PATRICIA J ZUREK RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2011
Last Update Date: 09/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 SCHMALE RD
CAROL STREAM IL
60188
US

IV. Provider business mailing address

540 SCHMALE RD
CAROL STREAM IL
60188
US

V. Phone/Fax

Practice location:
  • Phone: 630-933-9558
  • Fax: 630-933-9564
Mailing address:
  • Phone: 630-933-9558
  • Fax: 630-933-9564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.037588
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: