MEDICARE: ASIA G SATTAR

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	051287035	IL

General Provider Information

NPI Number	:	1528330172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASIA G SATTAR

Provider Business Mailing Address
First Line	:	1860 N RICHMOND RD
Second Line	:	T-0892
City	:	MCHENRY
State	:	IL
Zip	:	60051-5416
Country	:	US
Telephone Number	:	815-385-1280
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 N RICHMOND RD
Second Line	:	T-0892
City	:	MCHENRY
State	:	IL
Zip	:	60051-5416
Country	:	US
Telephone Number	:	815-385-1280
Fax Number	:

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

Provider Enumeration Date	:	01/29/2012
Last Update Date	:	01/29/2012

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Directions to “ ASIA G SATTAR ” Practice Location

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