MEDICARE: SANA CONSULTING LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	1835G0303X	Geriatric Pharmacist	IL
2	1835N1003X	Nutrition Support Pharmacist	IL
3	1835P1200X	Pharmacotherapy Pharmacist	IL
4	183500000X	Pharmacist	IL

General Provider Information

NPI Number	:	1457522120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SANA CONSULTING LLC

Provider Business Mailing Address
First Line	:	1830 N WINCHESTER AVE
Second Line	:	#307
City	:	CHICAGO
State	:	IL
Zip	:	60622-1023
Country	:	US
Telephone Number	:	312-493-2105
Fax Number	:

Provider Business Practice Location Address
First Line	:	1830 N WINCHESTER AVE
Second Line	:	#307
City	:	CHICAGO
State	:	IL
Zip	:	60622-1023
Country	:	US
Telephone Number	:	312-493-2105
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LABINOT AVDIU
Credential	:	PHARM.D.
Telephone Number	:	312-493-2105

Provider Enumeration Date	:	03/20/2008
Last Update Date	:	03/20/2008

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Directions to “SANA CONSULTING LLC ” Practice Location

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