Individual
IMTIYAZ LAKADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5650 W BELMONT AVE, CHICAGO, IL 60634-5301
(773) 777-4611
(773) 777-2303
Mailing address
5650 W BELMONT AVE, CHICAGO, IL 60634-5301
(773) 777-4611
(773) 777-2303
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051287839
IL
Other
Enumeration date
09/08/2011
Last updated
09/08/2011
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