Provider Demographics
NPI:1083968291
Name:MURAD, GEORGETTE HANNA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:GEORGETTE
Middle Name:HANNA
Last Name:MURAD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 S MIDLOTHIAN RD
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-2686
Mailing Address - Country:US
Mailing Address - Phone:847-949-7198
Mailing Address - Fax:847-949-7347
Practice Address - Street 1:701 S MIDLOTHIAN RD
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-2686
Practice Address - Country:US
Practice Address - Phone:847-949-7198
Practice Address - Fax:847-949-7347
Is Sole Proprietor?:No
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.295912183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist