MEDICARE: AVA GORJI 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
1	183500000X	Pharmacist	051307841	IL

General Provider Information

NPI Number	:	1871459354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AVA GORJI PHARMD

Provider Business Mailing Address
First Line	:	111 E CHESTNUT ST APT 23A
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-6000
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E HURON ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3197
Country	:	US
Telephone Number	:	312-951-1084
Fax Number	:

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

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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Directions to “ AVA GORJI PHARMD” Practice Location

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