Provider Demographics
NPI:1477836625
Name:FAKHOURI, JUDY MEEKYUNG (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:JUDY
Middle Name:MEEKYUNG
Last Name:FAKHOURI
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:JUDY
Other - Middle Name:MEEKYUNG
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:918 W CAROLYN DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067
Mailing Address - Country:US
Mailing Address - Phone:847-502-0876
Mailing Address - Fax:
Practice Address - Street 1:108 WILMOT RD # MS 1822
Practice Address - Street 2:
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5145
Practice Address - Country:US
Practice Address - Phone:847-580-0000
Practice Address - Fax:847-315-3905
Is Sole Proprietor?:No
Enumeration Date:2011-09-23
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051290634183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist