Provider Demographics
NPI:1093933921
Name:GILL, NABEELA SAFDAR (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NABEELA
Middle Name:SAFDAR
Last Name:GILL
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 1:6931 DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053-2630
Mailing Address - Country:US
Mailing Address - Phone:847-965-3361
Mailing Address - Fax:847-583-1775
Practice Address - Street 1:6931 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2630
Practice Address - Country:US
Practice Address - Phone:847-965-3361
Practice Address - Fax:847-583-1775
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist