Individual
ALEX JOHN GREGOROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(502) 409-2463
Mailing address
353 N DESPLAINES ST APT 2208, CHICAGO, IL 60661-1352
(502) 409-2463
Taxonomy
Speciality
Code
Description
License number
State
1835C0205X
Critical Care Pharmacist
Primary
019213
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019213
KENTUCKY PHARMACIST LICENSE NUMBER
KY
01
—
051.300422
ILLINOIS PHARMACIST LICENSE NUMBER
IL
Enumeration date
08/05/2020
Last updated
08/05/2020
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