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NPI Code Detail

MEDICARE: DR. JILL E DUNMORE PHARMD

MEDICARE: DR. JILL E DUNMORE 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
1183500000XPharmacist22259MA
2183500000XPharmacist12927-040WI
3183500000XPharmacistIL

General Provider Information

NPI Number : 1316920408
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JILL E DUNMORE PHARMD
Provider Business Mailing Address
First Line : 246 CLUBHOUSE ST
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60490-2059
Country : US
Telephone Number : 630-759-4142
Fax Number :
Provider Business Practice Location Address
First Line : 4025 N SHERIDAN RD
Second Line :
City : CHICAGO
State : IL
Zip : 60613-2010
Country : US
Telephone Number : 773-528-8314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 07/08/2007

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