Provider Demographics
NPI:1861165748
Name:RAMOS, JOANNA MARI GRATELA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JOANNA MARI
Middle Name:GRATELA
Last Name:RAMOS
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 1:728 KNOCH KNOLLS RD
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60565-3544
Mailing Address - Country:US
Mailing Address - Phone:630-621-8658
Mailing Address - Fax:
Practice Address - Street 1:88 W GARTNER RD STE 112
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-5391
Practice Address - Country:US
Practice Address - Phone:630-355-2500
Practice Address - Fax:630-355-9838
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051303876183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist