Provider Demographics
NPI:1609978337
Name:GHOGHAWALA, AKIL M (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:AKIL
Middle Name:M
Last Name:GHOGHAWALA
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 1:5340 MORNINGVIEW CT
Mailing Address - Street 2:
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60192-4143
Mailing Address - Country:US
Mailing Address - Phone:847-420-3789
Mailing Address - Fax:312-226-9766
Practice Address - Street 1:5340 MORNINGVIEW CT
Practice Address - Street 2:
Practice Address - City:HOFFMAN ESTATES
Practice Address - State:IL
Practice Address - Zip Code:60192-4143
Practice Address - Country:US
Practice Address - Phone:847-420-3789
Practice Address - Fax:312-226-9766
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist