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NPI Code Detail

MEDICARE: PATRICIA W SHAO PHARMD

MEDICARE: PATRICIA W SHAO 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 : 1386649440
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA W SHAO PHARMD
Provider Business Mailing Address
First Line : 7239 N KEELER AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-2020
Country : US
Telephone Number : 847-675-7591
Fax Number : 847-675-7592
Provider Business Practice Location Address
First Line : 5145 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60625-3661
Country : US
Telephone Number : 773-989-3810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2005
Last Update Date : 07/08/2007

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Directions to “ PATRICIA W SHAO PHARMD” Practice Location

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