Healthcare Provider Details

I. General information

NPI: 1205759198
Provider Name (Legal Business Name): EMAN HANI QASMIEH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1775 DEMPSTER ST
PARK RIDGE IL
60068-1174
US

IV. Provider business mailing address

10724 OLDE MILL DR
ORLAND PARK IL
60467-1484
US

V. Phone/Fax

Practice location:
  • Phone: 847-723-2210
  • Fax:
Mailing address:
  • Phone: 630-540-8886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051309142
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: