Individual
DR. ANNA STEPHANIE KABAKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, MBA, BCPS
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2911
Mailing address
1503 BROADWAY CT, WHEELING, IL 60090-6931
(847) 814-4853
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051.295032
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
3130950
IL
Other
Enumeration date
04/24/2012
Last updated
03/13/2023
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