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NPI Code Detail

MEDICARE: DR. NILA GORJI PHARMD

MEDICARE: DR. NILA GORJI 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
1183500000XPharmacist051.304226IL

General Provider Information

NPI Number : 1831869221
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NILA GORJI PHARMD
Provider Business Mailing Address
First Line : 111 E CHESTNUT ST APT 23A
Second Line :
City : CHICAGO
State : IL
Zip : 60611-6000
Country : US
Telephone Number : 312-520-7060
Fax Number :
Provider Business Practice Location Address
First Line : 933 N STATE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60610-2842
Country : US
Telephone Number : 312-943-0671
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2021
Last Update Date : 07/17/2023

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