Provider Demographics
NPI:1669855789
Name:KROZEL, MONIKA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MONIKA
Middle Name:
Last Name:KROZEL
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 1:8277 W ARGYLE ST
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-3065
Mailing Address - Country:US
Mailing Address - Phone:708-296-5541
Mailing Address - Fax:
Practice Address - Street 1:4050 N HARLEM AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-1328
Practice Address - Country:US
Practice Address - Phone:708-583-6990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-07
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL049185062183700000X
IL051298963183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No183700000XPharmacy Service ProvidersPharmacy Technician