Provider Demographics
NPI:1215212758
Name:SAINI, SUMAN RAMPRASAD (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SUMAN
Middle Name:RAMPRASAD
Last Name:SAINI
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 1:1826 RAES CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60490-2082
Mailing Address - Country:US
Mailing Address - Phone:630-512-0309
Mailing Address - Fax:
Practice Address - Street 1:498 N WEBER RD
Practice Address - Street 2:
Practice Address - City:ROMEOVILLE
Practice Address - State:IL
Practice Address - Zip Code:60446-4945
Practice Address - Country:US
Practice Address - Phone:815-293-3465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051290915183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist