Healthcare Provider Details

I. General information

NPI: 1750206231
Provider Name (Legal Business Name): NAOMI UVBI ROMO EGHAREVBA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 REMINGTON BLVD
BOLINGBROOK IL
60440-4906
US

IV. Provider business mailing address

727 W MADISON ST APT 1401
CHICAGO IL
60661-2409
US

V. Phone/Fax

Practice location:
  • Phone: 630-312-3960
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051307358
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: