MEDICARE: SHEREN ALSHWAIYAT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051300821	IL

General Provider Information

NPI Number	:	1346872272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEREN ALSHWAIYAT

Provider Business Mailing Address
First Line	:	6019 OAKLAND AVE
Second Line	:
City	:	OAK FOREST
State	:	IL
Zip	:	60452-1848
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 HEALTHWAY DR STE 100
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8184
Country	:	US
Telephone Number	:	708-527-2204
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2020
Last Update Date	:	02/08/2020

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Directions to “ SHEREN ALSHWAIYAT ” Practice Location

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