MEDICARE: FATIHA SAJJAD

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	051.297183	IL

General Provider Information

NPI Number	:	1821426115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FATIHA SAJJAD

Provider Business Mailing Address
First Line	:	2248 EASTVIEW DR
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-2711
Country	:	US
Telephone Number	:	847-877-0567
Fax Number	:

Provider Business Practice Location Address
First Line	:	2248 EASTVIEW DR
Second Line	:
City	:	DES PLAINES
State	:	IL
Zip	:	60018-2711
Country	:	US
Telephone Number	:	847-877-0567
Fax Number	:

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

Provider Enumeration Date	:	10/23/2013
Last Update Date	:	10/23/2013

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Directions to “ FATIHA SAJJAD ” Practice Location

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