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NPI Code Detail

MEDICARE: LINDA LOUISE SCARNAVACK

MEDICARE: LINDA LOUISE SCARNAVACK
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
1183500000XPharmacist051.287039IL

General Provider Information

NPI Number : 1205436862
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA LOUISE SCARNAVACK
Provider Business Mailing Address
First Line : 10021 LANCASTER DR
Second Line :
City : MOKENA
State : IL
Zip : 60448-7831
Country : US
Telephone Number : 708-307-4573
Fax Number :
Provider Business Practice Location Address
First Line : 4700 135TH ST
Second Line :
City : CRESTWOOD
State : IL
Zip : 60418-1405
Country : US
Telephone Number : 708-489-6471
Fax Number : 708-489-6898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2020
Last Update Date : 10/31/2020

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Directions to “ LINDA LOUISE SCARNAVACK ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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