Provider Demographics
NPI:1457957250
Name:IGNACIUK, MAGDALENA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAGDALENA
Middle Name:
Last Name:IGNACIUK
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 1:1999 VERNON CIR
Mailing Address - Street 2:
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-2737
Mailing Address - Country:US
Mailing Address - Phone:847-361-9463
Mailing Address - Fax:
Practice Address - Street 1:1999 VERNON CIR
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-2737
Practice Address - Country:US
Practice Address - Phone:847-361-9463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-07
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051299419183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist