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NPI Code Detail

MEDICARE: MARIA EMMANUEL ZERVOS

MEDICARE: MARIA EMMANUEL ZERVOS
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
1183500000XPharmacist051036345IL

General Provider Information

NPI Number : 1871193870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA EMMANUEL ZERVOS
Provider Business Mailing Address
First Line : 2370 CHAMBOURD DR
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-4658
Country : US
Telephone Number : 847-431-5958
Fax Number :
Provider Business Practice Location Address
First Line : 335 N MILWAUKEE AVE
Second Line :
City : VERNON HILLS
State : IL
Zip : 60061-1561
Country : US
Telephone Number : 847-955-9254
Fax Number : 847-955-9258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2020
Last Update Date : 10/28/2020

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Directions to “ MARIA EMMANUEL ZERVOS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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