Healthcare Provider Details

I. General information

NPI: 1013838861
Provider Name (Legal Business Name): NEHAD ELSHARKAWY PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NEHAD DOUGLAS

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25661 SILVER LEAF CIR
CHANNAHON IL
60410-6004
US

IV. Provider business mailing address

25661 SILVER LEAF CIR
CHANNAHON IL
60410-6004
US

V. Phone/Fax

Practice location:
  • Phone: 216-266-7166
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051308918
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: