Individual
ADNAN EBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
1050 N KENNEDY DR, KANKAKEE, IL 60901-2033
(815) 932-9615
Mailing address
6531 N KEDZIE AVE, CHICAGO, IL 60645-4115
(773) 629-2550
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051294835
IL
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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