Mateusz Baczek
Pharmacist in Beach Park, IL. Individual provider (NPI-1).
NPI number1033744388
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1033744388
- Entity type
- Individual (NPI-1)
- Name
- Mateusz Baczek
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 6, 2020
- Certification date
- Nov 28, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 051.300528 | IL | Yes |
| 183500000X | Pharmacist | 19133-40 | WI |
Practice location
39161 N Sheridan RdBeach Park, IL 60099-3729
Phone 847-746-6230
Mailing address
39161 N Sheridan RdBeach Park, IL 60099-3729
Phone 847-746-6230
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Other Pharmacist providers in Beach Park, IL
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- Smitha H Shivaprasad, RPHNPI 1922435114
- Cheryl TersipNPI 1144502568
All 5 Pharmacist providers in Beach Park · All 60 providers in Beach Park
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