Healthcare Provider Details

I. General information

NPI: 1922589761
Provider Name (Legal Business Name): ANGELA DANIELLE WOJTCZAK PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 W HARRISON ST
CHICAGO IL
60607-3106
US

IV. Provider business mailing address

10453 CAPISTRANO LN
ORLAND PARK IL
60467-8244
US

V. Phone/Fax

Practice location:
  • Phone: 708-660-3728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number051301373
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051301373
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: