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NPI Code Detail

MEDICARE: TAI L SZETO

MEDICARE:   TAI L SZETO
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
1183500000XPharmacist051293426IL

General Provider Information

NPI Number : 1225319585
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAI L SZETO
Provider Business Mailing Address
First Line : 5435 S. KEDZIE
Second Line :
City : CHICAGO
State : IL
Zip : 60608-6718
Country : US
Telephone Number : 312-504-8599
Fax Number :
Provider Business Practice Location Address
First Line : 5435 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60632-2642
Country : US
Telephone Number : 312-504-8599
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2011
Last Update Date : 10/04/2011

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Directions to “ TAI L SZETO ” Practice Location

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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.