Individual
AHMAD ABUATIYEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7807 S. SHOLER AVE, BRIDGEVIEW, IL 60455
(708) 822-2655
Mailing address
7807 SHOLER AVE, BRIDGEVIEW, IL 60455-1458
(708) 822-2655
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051293140
IL
Other
Enumeration date
05/18/2012
Last updated
05/18/2012
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