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NPI Code Detail

MEDICARE: MARYANN BOBEK PHARMD

MEDICARE: MARYANN BOBEK 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
1183500000XPharmacistIL

General Provider Information

NPI Number : 1528278983
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYANN BOBEK PHARMD
Provider Business Mailing Address
First Line : 1160 W LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1979
Country : US
Telephone Number : 847-537-4074
Fax Number : 847-537-8207
Provider Business Practice Location Address
First Line : 1160 W LAKE COOK RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-1979
Country : US
Telephone Number : 847-537-4074
Fax Number : 847-537-8207
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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