Provider Demographics
NPI:1831447978
Name:SILANSKAS, GRAZINA (PHARMD)
Entity type:Individual
Prefix:
First Name:GRAZINA
Middle Name:
Last Name:SILANSKAS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:GRAZINA
Other - Middle Name:
Other - Last Name:JANELIAUSKAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:16429 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-4783
Mailing Address - Country:US
Mailing Address - Phone:630-890-5576
Mailing Address - Fax:
Practice Address - Street 1:820 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-569-7101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.294858183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist