Provider Demographics
NPI:1730465857
Name:FRANGIADAKIS, SOFIA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SOFIA
Middle Name:
Last Name:FRANGIADAKIS
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 1:17W337 STILLWELL RD
Mailing Address - Street 2:
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4527
Mailing Address - Country:US
Mailing Address - Phone:630-359-5680
Mailing Address - Fax:
Practice Address - Street 1:1325 E IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2300
Practice Address - Country:US
Practice Address - Phone:630-875-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051289968183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist