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NPI Code Detail

MEDICARE: DR. AUSTIN JAMES IGNATOVICH PHARMD

MEDICARE: DR. AUSTIN JAMES IGNATOVICH 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
1183500000XPharmacist051307241IL

General Provider Information

NPI Number : 1194657627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUSTIN JAMES IGNATOVICH PHARMD
Provider Business Mailing Address
First Line : 441 E ERIE ST APT 2403
Second Line :
City : CHICAGO
State : IL
Zip : 60611-7124
Country : US
Telephone Number : 269-986-5384
Fax Number :
Provider Business Practice Location Address
First Line : 251 E HURON ST
Second Line :
City : CHICAGO
State : IL
Zip : 60611-2908
Country : US
Telephone Number : 269-986-5384
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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