Steve Paraskos, PHARMD

Individual provider Active NPI Pharmacist · Third Lake, IL

NPI 1811592256 · NPPES record last updated Dec 3, 2020

Key facts

NPI
1811592256
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
051.286128 (IL)
Practice address
34344 N US Highway 45
Third Lake, IL 60030-4031
Phone
(847) 543-5441
NPI assigned
Dec 3, 2020
Sex
Male
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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
051.286128ILMDPharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.286128 IL Yes

Addresses

Primary practice location

34344 N US Highway 45
Third Lake, IL 60030-4031

Mailing address

34344 N US Highway 45
Third Lake, IL 60030-4031
Phone (847) 543-5441

Other providers in Third Lake, IL

All providers in Third Lake, IL · Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.