Provider Demographics
NPI:1760830939
Name:AMIN, ALKABEN DWIJEN (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALKABEN
Middle Name:DWIJEN
Last Name:AMIN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:DR
Other - First Name:ALKABEN
Other - Middle Name:
Other - Last Name:AMIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHARM D
Mailing Address - Street 1:30 DANADA SQ W
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-2000
Mailing Address - Country:US
Mailing Address - Phone:630-668-1211
Mailing Address - Fax:
Practice Address - Street 1:30 DANADA SQ W
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-2000
Practice Address - Country:US
Practice Address - Phone:630-668-1211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051039860183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist