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NPI Code Detail

MEDICARE: MRS. ELZBIETA GURGUL

MEDICARE: MRS. ELZBIETA GURGUL
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
1183500000XPharmacist051.293824IL

General Provider Information

NPI Number : 1811278799
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELZBIETA GURGUL
Provider Business Mailing Address
First Line : 3837 N PANAMA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60634-2039
Country : US
Telephone Number : 773-260-2463
Fax Number :
Provider Business Practice Location Address
First Line : 8361 BELMONT AVE
Second Line :
City : RIVER GROVE
State : IL
Zip : 60171-1001
Country : US
Telephone Number : 708-452-8062
Fax Number : 708-452-4975
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 09/12/2011

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Directions to “ MRS. ELZBIETA GURGUL ” Practice Location

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