MEDICARE: DR. ANN ELISABETH WEHMEYER PHARM.D.

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	1835P1200X	Pharmacotherapy Pharmacist		IL

General Provider Information

NPI Number	:	1740369693
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANN ELISABETH WEHMEYER PHARM.D.

Provider Business Mailing Address
First Line	:	2214 LINCOLNWOOD DR
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-2020
Country	:	US
Telephone Number	:	847-332-1064
Fax Number	:

Provider Business Practice Location Address
First Line	:	2214 LINCOLNWOOD DR
Second Line	:
City	:	EVANSTON
State	:	IL
Zip	:	60201-2020
Country	:	US
Telephone Number	:	847-332-1064
Fax Number	:

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

Provider Enumeration Date	:	11/03/2006
Last Update Date	:	07/08/2007

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