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NPI Code Detail

MEDICARE: TAVGA HIKMAT SHER

MEDICARE: TAVGA HIKMAT SHER
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
1183500000XPharmacist051291788IL

General Provider Information

NPI Number : 1841896628
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAVGA HIKMAT SHER
Provider Business Mailing Address
First Line : 2427 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4631
Country : US
Telephone Number : 773-342-6060
Fax Number : 773-342-0560
Provider Business Practice Location Address
First Line : 2427 W CHICAGO AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60622-4631
Country : US
Telephone Number : 773-342-6060
Fax Number : 773-342-0560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2020
Last Update Date : 12/08/2020

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Directions to “ TAVGA HIKMAT SHER ” Practice Location

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