Provider Demographics
NPI:1861516346
Name:TSELEPIS, ANDREW WILLIAM (RPH)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:WILLIAM
Last Name:TSELEPIS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2608 ZURICH CT
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-4506
Mailing Address - Country:US
Mailing Address - Phone:630-637-3846
Mailing Address - Fax:630-637-3845
Practice Address - Street 1:1555 W. NORTH AURORA RD.
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563
Practice Address - Country:US
Practice Address - Phone:630-637-3846
Practice Address - Fax:630-637-3845
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist