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NPI Code Detail

MEDICARE: DR. ANDREAS ISKOS PHARM D

MEDICARE: DR. ANDREAS ISKOS PHARM D
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
1183500000XPharmacist051-039482IL

General Provider Information

NPI Number : 1295057651
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREAS ISKOS PHARM D
Provider Business Mailing Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-8688
Fax Number : 773-465-8677
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2010
Last Update Date : 02/25/2010

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Directions to “ DR. ANDREAS ISKOS PHARM D” Practice Location

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