Healthcare Provider Details

I. General information

NPI: 1043196231
Provider Name (Legal Business Name): AMBER GILANI PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3311 N HALSTED ST
CHICAGO IL
60657-2412
US

IV. Provider business mailing address

3311 N HALSTED ST
CHICAGO IL
60657-2412
US

V. Phone/Fax

Practice location:
  • Phone: 773-435-9583
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number72930
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051.307033
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: