Provider Demographics
NPI:1720368376
Name:OSINSKI, MICHAEL CZECH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:CZECH
Last Name:OSINSKI
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 1:3424 W BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5409
Mailing Address - Country:US
Mailing Address - Phone:773-267-2328
Mailing Address - Fax:773-267-5947
Practice Address - Street 1:3424 W BELMONT AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-5409
Practice Address - Country:US
Practice Address - Phone:773-267-2328
Practice Address - Fax:773-267-5947
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2011-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051290245183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist