Healthcare Provider Details

I. General information

NPI: 1285559245
Provider Name (Legal Business Name): SALAM ADNAN MAHMOUD SOKY RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 HOME AVE APT 3C
OAK PARK IL
60302-3720
US

IV. Provider business mailing address

413 HOME AVE APT 3C
OAK PARK IL
60302-3720
US

V. Phone/Fax

Practice location:
  • Phone: 917-348-7329
  • Fax:
Mailing address:
  • Phone: 917-348-7329
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051306044
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: