MEDICARE: MS. SHADI KASHANI 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
1	1835P2201X	Ambulatory Care Pharmacist	051297336	IL

General Provider Information

NPI Number	:	1407206931
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHADI KASHANI PHARMD

Provider Business Mailing Address
First Line	:	2238 W BELMONT AVE UNIT 4W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6593
Country	:	US
Telephone Number	:	630-862-0608
Fax Number	:

Provider Business Practice Location Address
First Line	:	2238 W BELMONT AVE UNIT 4W
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-6593
Country	:	US
Telephone Number	:	630-862-0608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2016
Last Update Date	:	06/02/2026

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