Provider Demographics
NPI:1386263226
Name:TAUBE, GELSON JULIO JR (PHARMD)
Entity type:Individual
Prefix:DR
First Name:GELSON
Middle Name:JULIO
Last Name:TAUBE
Suffix:JR
Gender:M
Credentials:PHARMD
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Mailing Address - Street 1:251 E HURON ST
Mailing Address - Street 2:DEPARTMENT OF PHARMACY - LC 700
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-3055
Mailing Address - Country:US
Mailing Address - Phone:312-926-0493
Mailing Address - Fax:312-926-7956
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:DEPARTMENT OF PHARMACY - LC 700
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-3055
Practice Address - Country:US
Practice Address - Phone:312-926-0493
Practice Address - Fax:312-926-7956
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
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Provider Licenses
StateLicense IDTaxonomies
IL0512953281835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist