MEDICARE: NAHEED FATIMA KAZMI PHARM, D.

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		IL
2	183500000X	Pharmacist		IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1465485	OTHER	IL	NCPDP
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649395294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NAHEED FATIMA KAZMI PHARM, D.

Provider Business Mailing Address
First Line	:	252 HEMLOCK LN
Second Line	:
City	:	WEST CHICAGO
State	:	IL
Zip	:	60185-5975
Country	:	US
Telephone Number	:	630-231-1297
Fax Number	:

Provider Business Practice Location Address
First Line	:	2063 LINCOLN HWY
Second Line	:
City	:	ST CHARLES
State	:	IL
Zip	:	60174-1580
Country	:	US
Telephone Number	:	630-584-2038
Fax Number	:

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

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

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