Individual
DR. HAKEEM IDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1533 E 67TH ST, CHICAGO, IL 60637-4426
(773) 493-0733
Mailing address
8016 S KENWOOD AVE, CHICAGO, IL 60619-3413
(773) 987-2525
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051290120
IL
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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