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NPI Code Detail

MEDICARE: DUPAGE COUNTY

MEDICARE: DUPAGE COUNTY
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
13336C0002XClinic Pharmacy054017337IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12021527OTHERPK

General Provider Information

NPI Number : 1427142702
Entity Type Code : Organization
Provider Name (Legal Business Name) : DUPAGE COUNTY
Provider Business Mailing Address
First Line : 400 N COUNTY FARM RD
Second Line : RM G322
City : WHEATON
State : IL
Zip : 60187-3908
Country : US
Telephone Number : 630-784-4288
Fax Number : 630-784-4284
Provider Business Practice Location Address
First Line : 400 N COUNTY FARM RD
Second Line : RM G322
City : WHEATON
State : IL
Zip : 60187-3908
Country : US
Telephone Number : 630-784-4288
Fax Number : 630-784-4284
Authorized Official
Title or Position : PHARMACY MANAGER
Name : DR. JONATHAN ANTHONY KLIMEK
Credential : PHARMD
Telephone Number : 630-784-4275
Provider Enumeration Date : 10/03/2006
Last Update Date : 03/30/2022

Similar Medicare Providers

1841121514 — PAIGE ALEXIS OLIVER MOT, OTR
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-407-6500
Practice Fax:
1043148034 — MARIA ROSE HOFFART
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-665-6400
Practice Fax:
1649267980 — DUPAGE COUNTY
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-665-6400
Practice Fax: 630-784-4203
1649364050 — DUPAGE COUNTY
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-784-4277
Practice Fax: 630-784-4284
1699985606 — MRS. JULIE ANN FUSCO PHARMD
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-784-4285
Practice Fax:
1952563207 — DUPAGE CONVALESCENT CENTER
Practice Location Address:
400 N COUNTY FARM RD
WHEATON, IL
60187-3908
Practice Phone: 630-784-4201
Practice Fax: 630-784-4203

Directions to “DUPAGE COUNTY ” Practice Location

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