MEDICARE: MRS. JUDITH A LUBINSKI RPH

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	051032272	IL

General Provider Information

NPI Number	:	1588906382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JUDITH A LUBINSKI RPH

Provider Business Mailing Address
First Line	:	701 WINTHROP
Second Line	:	ADVENTIST GLEN OAKS OUTPATIENT PHARMACY
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139
Country	:	US
Telephone Number	:	630-545-7310
Fax Number	:	630-545-7315

Provider Business Practice Location Address
First Line	:	701 WINTHROP AVE
Second Line	:	ADVENTIST GLEN OAKS OUTPATIENT PHARMACY
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-1405
Country	:	US
Telephone Number	:	630-545-7310
Fax Number	:	630-545-7315

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

Provider Enumeration Date	:	03/20/2013
Last Update Date	:	03/20/2013

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