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NPI Code Detail

MEDICARE: REBECCA Y LI PHARM D

MEDICARE: REBECCA Y LI 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
1183500000XPharmacist051.291402IL

General Provider Information

NPI Number : 1700219185
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA Y LI PHARM D
Provider Business Mailing Address
First Line : 9401 LEAMINGTON ST
Second Line :
City : SKOKIE
State : IL
Zip : 60077-1226
Country : US
Telephone Number : 847-864-8120
Fax Number : 847-864-4974
Provider Business Practice Location Address
First Line : 635 CHICAGO AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-2365
Country : US
Telephone Number : 847-864-8120
Fax Number : 847-864-4974
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2013
Last Update Date : 08/20/2013

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Directions to “ REBECCA Y LI PHARM D” Practice Location

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