Elzbieta Gurgul
Individual provider Active NPI Pharmacist · River Grove, IL
NPI 1811278799 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1811278799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.293824 (IL)
- Practice address
- 8361 Belmont Ave
River Grove, IL 60171-1001 - Phone
- (708) 452-8062
- Fax
- (708) 452-4975
- NPI assigned
- Sep 6, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.293824 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.293824 | IL | Yes |
Addresses
Primary practice location
8361 Belmont Ave
River Grove, IL 60171-1001
Mailing address
3837 N Panama Ave
Chicago, IL 60634-2039
Phone (773) 260-2463
Other providers in River Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. 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.