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NPI Code Detail

MEDICARE: DR. SARA ABBASI PHARMD

MEDICARE: DR. SARA ABBASI PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051.303192IL

General Provider Information

NPI Number : 1144817461
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SARA ABBASI PHARMD
Provider Business Mailing Address
First Line : 605 GLENWOOD LN
Second Line :
City : LOMBARD
State : IL
Zip : 60148-1426
Country : US
Telephone Number : 630-656-7681
Fax Number :
Provider Business Practice Location Address
First Line : 1285 S RAND RD
Second Line :
City : LAKE ZURICH
State : IL
Zip : 60047-2960
Country : US
Telephone Number : 847-438-8565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2020
Last Update Date : 12/22/2020

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