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NPI Code Detail

MEDICARE: STEPHANY EMERICK

MEDICARE: STEPHANY EMERICK
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
1183700000XPharmacy TechnicianIL

General Provider Information

NPI Number : 1902941131
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANY EMERICK
Provider Business Mailing Address
First Line : 9 S MAY ST
Second Line :
City : JOLIET
State : IL
Zip : 60436-1401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2025 S CHICAGO ST
Second Line :
City : JOLIET
State : IL
Zip : 60436-3172
Country : US
Telephone Number : 815-723-0300
Fax Number : 815-725-7500
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2007
Last Update Date : 07/08/2007

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Directions to “ STEPHANY EMERICK ” Practice Location

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