Ahmad Eyad Judeh

Primary specialty

PharmacistTaxonomy code 183500000X

License

051305089 Issued in IL

Practice address

7910 S Cicero Ave
Burbank, IL 60459-1507

Phone

(708) 423-2700

NPI assigned

Oct 13, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1154047868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 LAVERGNE AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591528",
            "telephone_number": "708-980-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 S CICERO AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591507",
            "telephone_number": "708-423-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDEH",
        "first_name": "AHMAD",
        "middle_name": "EYAD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051305089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Issac Johnson, MD
• Andrea D. Jones, M.D.
• Jawanda Jones, FNP - BC
• Lidija Jovanovic, PHARMD
• Melissa Juarez, PA-C
• Pamela Jung
• Joanna Kaczmarczyk
• Kenneth Y Wu
• Areeg Khraiwish
• Susie Kim, MD

• Pharmacist in Burbank, IL
• Providers in Burbank, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.