Provider Demographics
NPI:1720368210
Name:SZCZERBA, PAULINA KATARZYNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:PAULINA
Middle Name:KATARZYNA
Last Name:SZCZERBA
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 1:270 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-1805
Mailing Address - Country:US
Mailing Address - Phone:847-409-1225
Mailing Address - Fax:
Practice Address - Street 1:315 N IL ROUTE 31
Practice Address - Street 2:
Practice Address - City:CRYSTAL LAKE
Practice Address - State:IL
Practice Address - Zip Code:60012-3778
Practice Address - Country:US
Practice Address - Phone:815-404-2643
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-28
Last Update Date:2011-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295027183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist