Provider Demographics
NPI:1851049936
Name:SYED, ABDUL ADNAN (PHARM D)
Entity Type:Individual
Prefix:
First Name:ABDUL
Middle Name:ADNAN
Last Name:SYED
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 W. FULLERTON PKWY
Mailing Address - Street 2:APT 1110
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60614-3992
Mailing Address - Country:US
Mailing Address - Phone:773-318-2613
Mailing Address - Fax:
Practice Address - Street 1:444 W. FULLERTON PKWY
Practice Address - Street 2:APT 1110
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-6061
Practice Address - Country:US
Practice Address - Phone:773-318-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.304084183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist