Healthcare Provider Details

I. General information

NPI: 1376447656
Provider Name (Legal Business Name): NAQIB NASEER RAHIM-BUX
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 E BOUGHTON RD # 1088C
BOLINGBROOK IL
60440-2355
US

IV. Provider business mailing address

830 E BOUGHTON RD # 1088C
BOLINGBROOK IL
60440-2355
US

V. Phone/Fax

Practice location:
  • Phone: 630-410-0709
  • Fax:
Mailing address:
  • Phone: 630-410-0709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.308927
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: