Sarah Abdulmohsin
Individual provider Active NPI Pharmacist · Chicago, IL
NPI 1780296277 · NPPES record last updated Aug 18, 2020
Key facts
- NPI
- 1780296277
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051302108 (IL)
- Practice address
- 1554 E 55TH St
Chicago, IL 60615-5550 - Phone
- (773) 667-1177
- NPI assigned
- Aug 18, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 051302108 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051302108 | IL | Yes |
Addresses
Primary practice location
1554 E 55TH St
Chicago, IL 60615-5550
Mailing address
1554 E 55TH St
Chicago, IL 60615-5550
Phone (773) 667-1177
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 18, 2020. 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.