Tariq Hafeez, RPH.
Individual provider Active NPI Pharmacist · Norridge, IL
NPI 1497038749 · NPPES record last updated Sep 22, 2011
Key facts
- NPI
- 1497038749
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.035060 (IL)
- Practice address
- 4820 N Cumberland Ave
Norridge, IL 60706-2914 - Phone
- (708) 583-2133
- NPI assigned
- Sep 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44211 | CA | MD | Pharmacist |
| 051.035060 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.035060 | IL | Yes |
| Pharmacist | 183500000X | 44211 | CA |
Addresses
Primary practice location
4820 N Cumberland Ave
Norridge, IL 60706-2914
Mailing address
6144 N Nagle Ave
Chicago, IL 60646-3610
Phone (773) 775-1350
Other providers in Norridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.