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General NPI Number Information
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NPI Number | 1588781298
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Entity Type | Organization
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Legal Business Name | COOK COUNTY
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 02/18/2020
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Provider Practice Location Address
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Address Line | 500 E 51ST STREET, ROOM 2008 AND 2050
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City | CHICAGO
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State | IL
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Zip | 60615
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Country | US
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Telephone | 312-572-5858
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Fax | 312-572-2959
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Provider Business Mailing Address
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Address Line | 500 E 51ST STREET, ROOM 2008 AND 2050
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City | CHICAGO
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State | IL
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Zip | 60615-2400
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Country | US
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Telephone | 312-572-5858
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Fax | 312-572-2959
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Authorized Official
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Title or Position | DIRECTOR OF PHARAMCY
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Name | CHARLIA ARBO
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Credential |
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Telephone | 312-572-5858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 054.017285
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License Number State | IL
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