MEDICARE: DR. CAMELIA ANA CIURBE PHARM. D

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	051.294156	IL

General Provider Information

NPI Number	:	1942597620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAMELIA ANA CIURBE PHARM. D

Provider Business Mailing Address
First Line	:	4423 N RAVENSWOOD AVE STE P100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5802
Country	:	US
Telephone Number	:	773-701-3541
Fax Number	:

Provider Business Practice Location Address
First Line	:	4423 N RAVENSWOOD AVE STE P100
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5802
Country	:	US
Telephone Number	:	773-313-3075
Fax Number	:

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

Provider Enumeration Date	:	07/01/2011
Last Update Date	:	02/19/2020

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