Provider Demographics
NPI:1548035264
Name:DYMON, KATARZYNA ZOFIA (PHARMD)
Entity type:Individual
Prefix:
First Name:KATARZYNA
Middle Name:ZOFIA
Last Name:DYMON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 E IRONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1442
Mailing Address - Country:US
Mailing Address - Phone:224-659-4996
Mailing Address - Fax:
Practice Address - Street 1:1 N ELMHURST RD
Practice Address - Street 2:
Practice Address - City:PROSPECT HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60070-1509
Practice Address - Country:US
Practice Address - Phone:847-398-4673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051305804183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist