Provider Demographics
NPI:1619050416
Name:SZCZAP, LOUIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:
Last Name:SZCZAP
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20204 RT 173
Mailing Address - Street 2:
Mailing Address - City:HARVARD
Mailing Address - State:IL
Mailing Address - Zip Code:60033
Mailing Address - Country:US
Mailing Address - Phone:815-943-6049
Mailing Address - Fax:
Practice Address - Street 1:55 N AYER ST
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:IL
Practice Address - Zip Code:60033-2859
Practice Address - Country:US
Practice Address - Phone:815-943-5252
Practice Address - Fax:815-943-5260
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist