MEDICARE: UROOSA HUSAIN RPH

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	183500000X	Pharmacist	051289827	IL

General Provider Information

NPI Number	:	1558958082
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UROOSA HUSAIN RPH

Provider Business Mailing Address
First Line	:	6N444 VALLEY CIR
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-5643
Country	:	US
Telephone Number	:	630-456-1842
Fax Number	:

Provider Business Practice Location Address
First Line	:	2045 PLUM GROVE RD
Second Line	:
City	:	ROLLING MEADOWS
State	:	IL
Zip	:	60008-1992
Country	:	US
Telephone Number	:	847-303-2451
Fax Number	:

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

Provider Enumeration Date	:	12/30/2020
Last Update Date	:	12/30/2020

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Directions to “ UROOSA HUSAIN RPH” Practice Location

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