Provider Demographics
NPI:1912703430
Name:SZULKOWSKI, LEANNA LYNN (PHARMD)
Entity type:Individual
Prefix:DR
First Name:LEANNA
Middle Name:LYNN
Last Name:SZULKOWSKI
Suffix:
Gender:
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:347 N INDEPENDENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROMEOVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60446-1558
Mailing Address - Country:US
Mailing Address - Phone:815-293-1152
Mailing Address - Fax:
Practice Address - Street 1:347 N INDEPENDENCE BLVD
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-1558
Practice Address - Country:US
Practice Address - Phone:815-293-1152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.305392183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist