Individual
DR. ILDA HAXHISTASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2491 HOWARD ST, EVANSTON, IL 60202-3638
(847) 328-9951
Mailing address
2650 N LAKEVIEW AVE APT 1210, CHICAGO, IL 60614-2948
(847) 328-9951
(847) 328-9849
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
IL
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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