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Organization
IBTISAM INC
Active
Organization
IBTISAM INC
Active
Other names
Elsdon medical pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUHA M ABDALLAH (OWNER)
(773) 582-2660
Entity
Organization
Contact information
Practice address
4254 W 55TH ST STE 100, CHICAGO, IL 60632-4642
(773) 582-2660
(773) 767-3022
Mailing address
4254 W 55TH ST STE 100, CHICAGO, IL 60632-4642
(773) 582-2660
(773) 767-3022
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
03/02/2023
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