Provider Demographics
NPI:1447608138
Name:SALEM, NISREEN RULA (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:NISREEN
Middle Name:RULA
Last Name:SALEM
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:RULA
Other - Middle Name:NISREEN
Other - Last Name:SALEM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1151 S ROSELLE RD
Mailing Address - Street 2:
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-4071
Mailing Address - Country:US
Mailing Address - Phone:847-895-1600
Mailing Address - Fax:
Practice Address - Street 1:1151 S ROSELLE RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-4071
Practice Address - Country:US
Practice Address - Phone:847-895-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2016-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051298071183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist