Healthcare Provider Details

I. General information

NPI: 1750234597
Provider Name (Legal Business Name): NOORAN ISMAIL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15575 E 127TH ST
LEMONT IL
60439-4433
US

IV. Provider business mailing address

15575 E 127TH ST
LEMONT IL
60439-4433
US

V. Phone/Fax

Practice location:
  • Phone: 630-257-9250
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number308021
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: