Individual
MRS. TANYA UDCHIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
105 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7951
(815) 261-4733
(815) 261-4736
Mailing address
105 NORTHWEST HWY, CRYSTAL LAKE, IL 60014-7951
(815) 261-4733
(815) 261-4736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287355
IL
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
051287355
IL
Other
Enumeration date
09/05/2011
Last updated
06/15/2026
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