MEDICARE: DR. PEDRO ARAMIS ABREU

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
1	183500000X	Pharmacist	PR5939	ME

General Provider Information

NPI Number	:	1932486917
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PEDRO ARAMIS ABREU

Provider Business Mailing Address
First Line	:	5532 N CLARK
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640
Country	:	US
Telephone Number	:	773-784-7348
Fax Number	:

Provider Business Practice Location Address
First Line	:	5516 N CLARK ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-1214
Country	:	US
Telephone Number	:	773-784-7348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2011
Last Update Date	:	02/06/2012

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