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NPI Code Detail

MEDICARE: KATHLEEN MAUREEN HUBER PHARMD

MEDICARE: KATHLEEN MAUREEN HUBER 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
1183500000XPharmacist051296668IL

General Provider Information

NPI Number : 1851920003
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN MAUREEN HUBER PHARMD
Provider Business Mailing Address
First Line : 16144 W PENNYROYAL LN
Second Line :
City : LOCKPORT
State : IL
Zip : 60441-4132
Country : US
Telephone Number : 708-990-1395
Fax Number :
Provider Business Practice Location Address
First Line : 9450 JOLIET RD
Second Line :
City : HODGKINS
State : IL
Zip : 60525-4156
Country : US
Telephone Number : 708-387-2099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/08/2020
Last Update Date : 04/08/2020

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Directions to “ KATHLEEN MAUREEN HUBER PHARMD” Practice Location

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