Provider Demographics
NPI:1841314325
Name:SAGOLS, PATRICIA ELIZABETH (PHARMD)
Entity type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:ELIZABETH
Last Name:SAGOLS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1510 W OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-1716
Mailing Address - Country:US
Mailing Address - Phone:708-352-7249
Mailing Address - Fax:708-246-7469
Practice Address - Street 1:14 GARDEN MARKET
Practice Address - Street 2:
Practice Address - City:WESTERN SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60558
Practice Address - Country:US
Practice Address - Phone:708-246-7530
Practice Address - Fax:708-246-7469
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051039007183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist