Provider Demographics
NPI:1346525144
Name:FAKHOURI, NAJI GEORGE (PHARMD)
Entity Type:Individual
Prefix:
First Name:NAJI
Middle Name:GEORGE
Last Name:FAKHOURI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3976 N WILKE RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1246
Mailing Address - Country:US
Mailing Address - Phone:773-562-9056
Mailing Address - Fax:
Practice Address - Street 1:6 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORTHLAKE
Practice Address - State:IL
Practice Address - Zip Code:60164-2516
Practice Address - Country:US
Practice Address - Phone:708-836-0348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-290581183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist