Provider Demographics
NPI:1730791245
Name:LEJA, JADWIGA A (PHARM D)
Entity type:Individual
Prefix:DR
First Name:JADWIGA
Middle Name:A
Last Name:LEJA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:DR
Other - First Name:JADWIGA
Other - Middle Name:A
Other - Last Name:ZAWADA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:8311 WHEELER DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-4932
Mailing Address - Country:US
Mailing Address - Phone:708-769-8739
Mailing Address - Fax:
Practice Address - Street 1:818 W SOUTH THORNDALE AVE
Practice Address - Street 2:
Practice Address - City:BENSENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60106-1138
Practice Address - Country:US
Practice Address - Phone:630-422-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051296964183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist