MEDICARE: COMPUTER ASSISTED MEDICAL SYSTEMS, INC.

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	333600000X	Pharmacy	054-007039	IL

General Provider Information

NPI Number	:	1538164645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPUTER ASSISTED MEDICAL SYSTEMS, INC.

Provider Business Mailing Address
First Line	:	7845 S COTTAGE GROVE AVE
Second Line	:	STE 100
City	:	CHICAGO
State	:	IL
Zip	:	60619-3100
Country	:	US
Telephone Number	:	773-873-4400
Fax Number	:	773-873-5635

Provider Business Practice Location Address
First Line	:	7845 S COTTAGE GROVE AVE
Second Line	:	STE 100
City	:	CHICAGO
State	:	IL
Zip	:	60619-3100
Country	:	US
Telephone Number	:	773-873-4400
Fax Number	:	773-873-5635

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LISA C MONDIE
Credential	:	R.PH.
Telephone Number	:	773-873-4400

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	06/16/2008

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