MEDICARE: EVELINA MITORAJ

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	051.301460	IL

General Provider Information

NPI Number	:	1437753878
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EVELINA MITORAJ

Provider Business Mailing Address
First Line	:	1034 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1716
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1034 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1716
Country	:	US
Telephone Number	:	312-705-2004
Fax Number	:

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

Provider Enumeration Date	:	11/25/2020
Last Update Date	:	11/25/2020

Similar Medicare Providers

1548127038 — NYAMEATE ADU ASANTE
Practice Location Address:

1034 W LAKE ST
CHICAGO, IL
60607-1716

Practice Phone: 312-705-2004
Practice Fax: 312-605-0065

1164028130 — DR. LANCE MICHAEL HOSEY PHARMD
Practice Location Address:

1034 W LAKE ST
CHICAGO, IL
60607-1716

Practice Phone: 312-705-2004
Practice Fax: 312-601-0065

1942276159 — DANIEL WOODS MD
Practice Location Address:

2107 CHICAGO AVE
SAVANNA, IL
61074-1716

Practice Phone: 815-273-3323
Practice Fax:

1710947353 — SUE THOMAS PT
Practice Location Address:

2107 CHICAGO AVE
SAVANNA, IL
61074-1716

Practice Phone: 815-273-3323
Practice Fax:

1528172061 — KAREN LOUNSBURY PT
Practice Location Address:

3210 WATLING ST , 8-210
EAST CHICAGO, IN
46312-1716

Practice Phone: 219-399-6668
Practice Fax:

1134263577 — FREEPORT REGIONAL HEALTH CARE FOUNDATION
Practice Location Address:

2107 CHICAGO AVE
SAVANNA, IL
61074-1716

Practice Phone: 815-273-3323
Practice Fax:

Directions to “ EVELINA MITORAJ ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.