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NPI Code Detail

MEDICARE: DR. SOFIA FRANGIADAKIS PHARMD

MEDICARE: DR. SOFIA FRANGIADAKIS 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
1183500000XPharmacist051289968IL

General Provider Information

NPI Number : 1730465857
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SOFIA FRANGIADAKIS PHARMD
Provider Business Mailing Address
First Line : 17W337 STILLWELL RD
Second Line :
City : OAKBROOK TERRACE
State : IL
Zip : 60181-4527
Country : US
Telephone Number : 630-359-5680
Fax Number :
Provider Business Practice Location Address
First Line : 1325 E IRVING PARK RD
Second Line :
City : ITASCA
State : IL
Zip : 60143-2300
Country : US
Telephone Number : 630-875-0244
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2011
Last Update Date : 11/02/2011

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