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NPI Code Detail

MEDICARE: DR. VALERIE ANNE LOBOREC PHARMD

MEDICARE: DR. VALERIE ANNE LOBOREC PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051.294125IL

General Provider Information

NPI Number : 1285928549
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VALERIE ANNE LOBOREC PHARMD
Provider Business Mailing Address
First Line : 2112 W PETERSON AVE
Second Line : T-2079
City : CHICAGO
State : IL
Zip : 60659-4277
Country : US
Telephone Number : 773-761-3006
Fax Number : 773-761-3413
Provider Business Practice Location Address
First Line : 2112 W PETERSON AVE
Second Line : T-2079
City : CHICAGO
State : IL
Zip : 60659-4277
Country : US
Telephone Number : 773-761-3006
Fax Number : 773-761-3413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2011
Last Update Date : 06/04/2011

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