Provider Demographics
NPI:1629194642
Name:SOVCIK, JAMIE FRANCES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:FRANCES
Last Name:SOVCIK
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5121 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:WESTERN SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60558-1967
Mailing Address - Country:US
Mailing Address - Phone:708-246-7762
Mailing Address - Fax:
Practice Address - Street 1:2300 N CHILDREN'S PLAZA
Practice Address - Street 2:BOX 74
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614
Practice Address - Country:US
Practice Address - Phone:773-880-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835X0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835X0200XPharmacy Service ProvidersPharmacistOncology