Dorota Jozwiak, PHARMD
Individual provider Active NPI Pharmacist · Wheaton, IL
NPI 1386984706 · NPPES record last updated Feb 3, 2015
Key facts
- NPI
- 1386984706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051286851 (IL)
- Practice address
- 625 S Main St
Wheaton, IL 60187-5240 - Phone
- (630) 690-6474
- Fax
- (630) 690-6567
- NPI assigned
- Feb 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051286851 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dominick'S Pharmacy | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051286851 | IL | Yes |
Addresses
Primary practice location
625 S Main St
Wheaton, IL 60187-5240
Mailing address
22W010 Spring Valley Dr
Medinah, IL 60157-9755
Phone (630) 671-1458
Other providers in Wheaton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.