Individual
KANVAL BASHIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST, CHICAGO, IL 60612-3841
(312) 563-2875
Mailing address
1985 BRIGHTON LN, HOFFMAN ESTATES, IL 60169-2501
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
051.303990
IL
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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