Semir Kamil Kadhim
Individual provider Active NPI Pharmacist · Des Plaines, IL
NPI 1639880974 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1639880974
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051.305215 (IL)
- Practice address
- 1480 Lee St
Des Plaines, IL 60018-1517 - Phone
- (847) 299-8185
- NPI assigned
- Dec 7, 2022
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.305215 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Drug Stores LLC | Past |
Accepting new patients | |
| American Drug Stores LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.305215 | IL | Yes |
Addresses
Primary practice location
1480 Lee St
Des Plaines, IL 60018-1517
Mailing address
1480 Lee St
Des Plaines, IL 60018-1517
Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 2023. 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.