Healthcare Provider Details

I. General information

NPI: 1124633094
Provider Name (Legal Business Name): LORENA SADIKU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2020
Last Update Date: 05/24/2026
Certification Date: 05/24/2026
Deactivation Date: 08/27/2023
Reactivation Date: 09/09/2023

III. Provider practice location address

802 E NORTHWEST HWY
ARLINGTON HEIGHTS IL
60004-6233
US

IV. Provider business mailing address

802 E NORTHWEST HWY
ARLINGTON HEIGHTS IL
60004-6233
US

V. Phone/Fax

Practice location:
  • Phone: 847-253-5494
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number051305734
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051305734
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code183700000X
TaxonomyPharmacy Technician
License Number049242107
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: