Provider Demographics
NPI:1225318959
Name:MURAD-ALONZO, MAHA H (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MAHA
Middle Name:H
Last Name:MURAD-ALONZO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:MAHA
Other - Middle Name:
Other - Last Name:MURAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:495 RANDOLPH CT
Mailing Address - Street 2:
Mailing Address - City:NORTH BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2230
Mailing Address - Country:US
Mailing Address - Phone:847-269-1981
Mailing Address - Fax:
Practice Address - Street 1:200 WILMOT RD
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-4620
Practice Address - Country:US
Practice Address - Phone:224-412-6794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-25
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.291272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL361924025005Medicaid