MEDICARE: RASA JANUSKEVICIENE 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
1	183500000X	Pharmacist	051289665	IL

General Provider Information

NPI Number	:	1437426756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASA JANUSKEVICIENE PHARMD

Provider Business Mailing Address
First Line	:	3137 S MORGAN ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60608-6651
Country	:	US
Telephone Number	:	773-847-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	833 W 115TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60643-4618
Country	:	US
Telephone Number	:	773-568-4034
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2011
Last Update Date	:	12/01/2011

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