MEDICARE: MR. IQBAL I ATCHA B.S., R.PH

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		IL

General Provider Information

NPI Number	:	1700879988
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. IQBAL I ATCHA B.S., R.PH

Provider Business Mailing Address
First Line	:	118 ENGLISH OAK LN
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-3396
Country	:	US
Telephone Number	:	630-965-6303
Fax Number	:

Provider Business Practice Location Address
First Line	:	118 ENGLISH OAK LN
Second Line	:
City	:	STREAMWOOD
State	:	IL
Zip	:	60107-3396
Country	:	US
Telephone Number	:	630-965-6303
Fax Number	:

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

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	07/08/2007

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