Organization
COMMUNITY PHARMACY OF CHICAGO RIDGE INC
Active
Other names
Community Pharmacy of Chicago Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAWAD H HAMDAN PHARMD (PRESIDENT/PIC)
(708) 229-2100
Entity
Organization
Contact information
Practice address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 961-4980
(773) 890-1802
Mailing address
9830 RIDGELAND AVE, CHICAGO RIDGE, IL 60415-2667
(708) 229-2100
(708) 229-2101
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
054-016794
IL
333600000X
Pharmacy
Primary
54-016794
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54-016794
IL DEPT OF FINANCIAL AND PROFESSIONAL REGULATION - PHARMACY LICENSE
IL
Enumeration date
01/21/2010
Last updated
11/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us