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NPI Code Detail

MEDICARE: URSULA B STOPKA

MEDICARE: URSULA B STOPKA
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
1183500000XPharmacist051286262IL

General Provider Information

NPI Number : 1932480878
Entity Type Code : Individual
Provider Name (Legal Business Name) : URSULA B STOPKA
Provider Business Mailing Address
First Line : 20096 N PARK HILL DR
Second Line :
City : DEER PARK
State : IL
Zip : 60010-3624
Country : US
Telephone Number : 708-692-8756
Fax Number :
Provider Business Practice Location Address
First Line : 9800 IRVING PARK RD
Second Line :
City : SCHILLER PARK
State : IL
Zip : 60176-1448
Country : US
Telephone Number : 847-233-0576
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 09/06/2011

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Directions to “ URSULA B STOPKA ” Practice Location

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