Provider Demographics
NPI:1518044098
Name:SEMLA, TODD PAUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:PAUL
Last Name:SEMLA
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 1:2732 LINCOLNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1229
Mailing Address - Country:US
Mailing Address - Phone:847-328-7503
Mailing Address - Fax:
Practice Address - Street 1:2732 LINCOLNWOOD DR
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1229
Practice Address - Country:US
Practice Address - Phone:847-328-7503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-034841835G0303X, 1835P1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1835G0303XPharmacy Service ProvidersPharmacistGeriatric
Not Answered1835P1300XPharmacy Service ProvidersPharmacistPsychiatric