Provider Demographics
NPI:1316547102
Name:FRONCZ, KLAUDIA
Entity Type:Individual
Prefix:
First Name:KLAUDIA
Middle Name:
Last Name:FRONCZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 WATKINS LN UNIT 202
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-9252
Mailing Address - Country:US
Mailing Address - Phone:708-890-1042
Mailing Address - Fax:
Practice Address - Street 1:1000 S RANDALL RD
Practice Address - Street 2:
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4108
Practice Address - Country:US
Practice Address - Phone:630-503-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-29
Last Update Date:2020-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051302574183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist