Ahmad Abuatiyeh
Individual provider Active NPI Pharmacist · Bridgeview, IL
NPI 1962762476 · NPPES record last updated May 18, 2012
Key facts
- NPI
- 1962762476
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 051293140 (IL)
- Practice address
- 7807 S. Sholer Ave
Bridgeview, IL 60455 - Phone
- (708) 822-2655
- NPI assigned
- May 18, 2012
- Sex
- Male
- 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 |
|---|---|---|---|
| 051293140 | IL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051293140 | IL | Yes |
Addresses
Primary practice location
7807 S. Sholer Ave
Bridgeview, IL 60455
Mailing address
7807 Sholer Ave
Bridgeview, IL 60455-1458
Phone (708) 822-2655
Other providers in Bridgeview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2012. 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.