Healthcare Provider Details

I. General information

NPI: 1134033582
Provider Name (Legal Business Name): AMNA HASSAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 N COUNTY FARM RD STE 101
WHEATON IL
60187-3977
US

IV. Provider business mailing address

111 N COUNTY FARM RD STE 101
WHEATON IL
60187-3977
US

V. Phone/Fax

Practice location:
  • Phone: 331-218-1362
  • Fax:
Mailing address:
  • Phone: 331-218-1362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number051308919
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: