Individual
ASTA STATKEVICIUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
599 ROOSEVELT RD, GLEN ELLYN, IL 60137-5797
(630) 790-2294
Mailing address
17648 CRESTVIEW CT, ORLAND PARK, IL 60467-7531
(708) 248-0838
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.296355
IL
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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