Provider Demographics
NPI:1841577558
Name:MARZEC, JOSEPH A (RPH)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:A
Last Name:MARZEC
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 W 79TH ST
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:IL
Mailing Address - Zip Code:60459-1406
Mailing Address - Country:US
Mailing Address - Phone:708-499-3755
Mailing Address - Fax:708-499-1309
Practice Address - Street 1:5400 W 79TH ST
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:IL
Practice Address - Zip Code:60459-1406
Practice Address - Country:US
Practice Address - Phone:708-499-3755
Practice Address - Fax:708-499-1309
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051030050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist