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NPI Code Detail

MEDICARE: DR. ELSA BISHOP PHARMD

MEDICARE: DR. ELSA BISHOP 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
1183500000XPharmacistIL

General Provider Information

NPI Number : 1235349333
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELSA BISHOP PHARMD
Provider Business Mailing Address
First Line : 2070 N HUMBOLDT BLVD
Second Line :
City : CHICAGO
State : IL
Zip : 60647-3805
Country : US
Telephone Number : 773-489-3844
Fax Number :
Provider Business Practice Location Address
First Line : 5532 N CLARK ST
Second Line :
City : CHICAGO
State : IL
Zip : 60640-1214
Country : US
Telephone Number : 773-784-7348
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. ELSA BISHOP PHARMD” Practice Location

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