Individual
FAIQA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
7251 LAKE ST, RIVER FOREST, IL 60305-2238
(708) 366-9960
Mailing address
934 S SPRING RD, ELMHURST, IL 60126-4928
(773) 398-7738
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051297280
IL
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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