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NPI Code Detail

MEDICARE: NISHA K SOUNG PHARMD

MEDICARE: NISHA K SOUNG 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
1183500000XPharmacist051.295273IL

General Provider Information

NPI Number : 1356627319
Entity Type Code : Individual
Provider Name (Legal Business Name) : NISHA K SOUNG PHARMD
Provider Business Mailing Address
First Line : 410 N MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4213
Country : US
Telephone Number : 312-321-0951
Fax Number :
Provider Business Practice Location Address
First Line : 410 N MICHIGAN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60611-4213
Country : US
Telephone Number : 312-321-0951
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2011
Last Update Date : 12/23/2020

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Directions to “ NISHA K SOUNG PHARMD” Practice Location

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