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NPI Code Detail

MEDICARE: PHYLLIS ZINDELL RPH

MEDICARE: PHYLLIS ZINDELL RPH
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
1183500000XPharmacist051.032329IL

General Provider Information

NPI Number : 1063792562
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHYLLIS ZINDELL RPH
Provider Business Mailing Address
First Line : 10 N MILWAUKEE AVE
Second Line :
City : WHEELING
State : IL
Zip : 60090-3012
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 N MILWAUKEE AVE
Second Line :
City : WHEELING
State : IL
Zip : 60090-3012
Country : US
Telephone Number : 847-215-8346
Fax Number : 847-215-8924
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2011
Last Update Date : 08/28/2011

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Directions to “ PHYLLIS ZINDELL RPH” Practice Location

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