Provider Demographics
NPI:1225817992
Name:BHINDER, SHEVANI K (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHEVANI
Middle Name:K
Last Name:BHINDER
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 1:2851 N ASHLAND AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9874
Mailing Address - Country:US
Mailing Address - Phone:847-217-5854
Mailing Address - Fax:
Practice Address - Street 1:2851 N ASHLAND AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9874
Practice Address - Country:US
Practice Address - Phone:847-217-5854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051298019183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist