Provider Demographics
NPI:1326310608
Name:SHUAYB, NAIMAH ZAHEEDA (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAIMAH
Middle Name:ZAHEEDA
Last Name:SHUAYB
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 1:1711 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2820
Mailing Address - Country:US
Mailing Address - Phone:773-454-7380
Mailing Address - Fax:
Practice Address - Street 1:1616 E 87TH ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2727
Practice Address - Country:US
Practice Address - Phone:773-978-7174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-02
Last Update Date:2012-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051293723183500000X
IN26023736A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist