Provider Demographics
NPI:1780885459
Name:DOROCIAK, JAMES VINCENT (PHARMD MS)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:VINCENT
Last Name:DOROCIAK
Suffix:
Gender:M
Credentials:PHARMD MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4324 ARIEL COURT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60564-3188
Mailing Address - Country:US
Mailing Address - Phone:630-904-6442
Mailing Address - Fax:630-904-6445
Practice Address - Street 1:4324 ARIEL COURT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60564-3188
Practice Address - Country:US
Practice Address - Phone:630-904-6442
Practice Address - Fax:630-904-6445
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist