Healthcare Provider Details

I. General information

NPI: 1669855789
Provider Name (Legal Business Name): MONIKA KROZEL PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 09/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4050 N HARLEM AVE
NORRIDGE IL
60706-1328
US

IV. Provider business mailing address

8277 W ARGYLE ST
NORRIDGE IL
60706-3065
US

V. Phone/Fax

Practice location:
  • Phone: 708-583-6990
  • Fax:
Mailing address:
  • Phone: 708-296-5541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number049185062
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051298963
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: