Provider Demographics
NPI:1982683314
Name:GLUZINSKI, KATHY SUE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:SUE
Last Name:GLUZINSKI
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1602 NIGHTENGALE CT
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9500
Mailing Address - Country:US
Mailing Address - Phone:847-688-3374
Mailing Address - Fax:847-688-4782
Practice Address - Street 1:3001A 6TH ST
Practice Address - Street 2:
Practice Address - City:GREAT LAKES
Practice Address - State:IL
Practice Address - Zip Code:60088
Practice Address - Country:US
Practice Address - Phone:847-688-3374
Practice Address - Fax:847-688-4782
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03112111183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist