=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609457084
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROZINA AKBER
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/18/2021
-----------------------------------------------------
Last Update Date | 04/18/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2201 S STEWART AVE APT 4H
-----------------------------------------------------
City | LOMBARD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60148-5521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 331-307-9668
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2201 S STEWART AVE APT 4H
-----------------------------------------------------
City | LOMBARD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60148-5521
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 331-307-9668
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 183500000X
-----------------------------------------------------
Taxonomy Name | Pharmacist
-----------------------------------------------------
License Number | 051.303844
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------