Provider Demographics
NPI:1033558770
Name:SZEWCZYK, LINDA M (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:SZEWCZYK
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 PATRICIA LN
Mailing Address - Street 2:
Mailing Address - City:PROSPECT HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60070-1644
Mailing Address - Country:US
Mailing Address - Phone:847-259-0314
Mailing Address - Fax:
Practice Address - Street 1:335 E EUCLID AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1288
Practice Address - Country:US
Practice Address - Phone:847-255-6030
Practice Address - Fax:847-255-2203
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-16
Last Update Date:2013-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.033338183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist