Provider Demographics
NPI:1275861692
Name:KALOGEROS, EFSTATHIA (PHARMD)
Entity Type:Individual
Prefix:MS
First Name:EFSTATHIA
Middle Name:
Last Name:KALOGEROS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MS
Other - First Name:EFFIE
Other - Middle Name:
Other - Last Name:KALOGEROS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARMD
Mailing Address - Street 1:550 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-4815
Mailing Address - Country:US
Mailing Address - Phone:312-527-5841
Mailing Address - Fax:312-527-0880
Practice Address - Street 1:550 N STATE ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-4815
Practice Address - Country:US
Practice Address - Phone:312-527-5841
Practice Address - Fax:312-527-0880
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051290179183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist