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NPI Code Detail

MEDICARE: MICHAEL BOJAN

MEDICARE: MICHAEL BOJAN
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
1183500000XPharmacist051035444IL

General Provider Information

NPI Number : 1518244318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL BOJAN
Provider Business Mailing Address
First Line : 1000 E NORTHWEST HWY
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-6235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 E NORTHWEST HWY
Second Line :
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-6235
Country : US
Telephone Number : 847-259-4646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2011
Last Update Date : 11/08/2011

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Directions to “ MICHAEL BOJAN ” Practice Location

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