Provider Demographics
NPI:1205016847
Name:DIMOVSKI, GEORGE MILAN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:MILAN
Last Name:DIMOVSKI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7329 S CASS AVE
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-3660
Mailing Address - Country:US
Mailing Address - Phone:630-852-0070
Mailing Address - Fax:630-852-8320
Practice Address - Street 1:7329 S CASS AVE
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:IL
Practice Address - Zip Code:60561-3660
Practice Address - Country:US
Practice Address - Phone:630-852-0070
Practice Address - Fax:630-852-8320
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-12
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist