Provider Demographics
NPI:1275413387
Name:TYLKA, JUSTYNA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JUSTYNA
Middle Name:
Last Name:TYLKA
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 1:10234 S 82ND CT
Mailing Address - Street 2:
Mailing Address - City:PALOS HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60465-1435
Mailing Address - Country:US
Mailing Address - Phone:708-557-5383
Mailing Address - Fax:
Practice Address - Street 1:9424 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-1935
Practice Address - Country:US
Practice Address - Phone:708-857-8274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-08
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051307362183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist