Healthcare Provider Details

I. General information

NPI: 1073431565
Provider Name (Legal Business Name): LAILA HAMMAD PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

833 S WOOD ST
CHICAGO IL
60612-7229
US

IV. Provider business mailing address

10812 W 133RD ST
ORLAND PARK IL
60467-1291
US

V. Phone/Fax

Practice location:
  • Phone: 708-374-1724
  • Fax: 708-374-1724
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number051306436
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: