Individual
MRS. MITZI MARIE WASIK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1801 W TAYLOR ST, SUITE 4E, CHICAGO, IL 60612-4319
(312) 996-2901
(312) 996-5181
Mailing address
833 S WOOD ST, CHICAGO, IL 60612-7229
(312) 996-6110
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
—
IL
Other
Enumeration date
03/16/2006
Last updated
07/08/2007
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