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NPI Code Detail

MEDICARE: CHRISTINA ADRIANA MAGNABOSCO PHARMD

MEDICARE: CHRISTINA ADRIANA MAGNABOSCO 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
1183500000XPharmacist051299642IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1051299642OTHERILIL LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1114520004
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ADRIANA MAGNABOSCO PHARMD
Provider Business Mailing Address
First Line : 9617 KILDARE AVE
Second Line :
City : SKOKIE
State : IL
Zip : 60076-1148
Country : US
Telephone Number : 773-569-9893
Fax Number :
Provider Business Practice Location Address
First Line : 101 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 847-905-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2020
Last Update Date : 11/21/2020

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Directions to “ CHRISTINA ADRIANA MAGNABOSCO PHARMD” Practice Location

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