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NPI Code Detail

MEDICARE: DR. LILY MARIE REBMANN PHARMD.

MEDICARE:  DR. LILY MARIE REBMANN  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
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist051-292477IL
21835P1200XPharmacotherapy Pharmacist051-292477IL

General Provider Information

NPI Number : 1801043310
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LILY MARIE REBMANN PHARMD.
Provider Business Mailing Address
First Line : 3025 E NEW YORK ST
Second Line :
City : AURORA
State : IL
Zip : 60504-5166
Country : US
Telephone Number : 630-236-0847
Fax Number :
Provider Business Practice Location Address
First Line : 3025 E NEW YORK ST
Second Line :
City : AURORA
State : IL
Zip : 60504-5166
Country : US
Telephone Number : 630-236-0847
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2008
Last Update Date : 08/26/2008

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Directions to “ DR. LILY MARIE REBMANN PHARMD.” Practice Location

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