Provider Demographics
NPI:1740654128
Name:MAHMOOD, NABIHA (PHARMD)
Entity type:Individual
Prefix:
First Name:NABIHA
Middle Name:
Last Name:MAHMOOD
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:NABIHA
Other - Middle Name:ABDUL WAJID
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17W712 BUTTERFIELD RD
Mailing Address - Street 2:APT 108
Mailing Address - City:OAKBROOK TERRACE
Mailing Address - State:IL
Mailing Address - Zip Code:60181-4360
Mailing Address - Country:US
Mailing Address - Phone:773-387-7595
Mailing Address - Fax:
Practice Address - Street 1:11840 S MARSHFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-4902
Practice Address - Country:US
Practice Address - Phone:773-396-5507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-22
Last Update Date:2015-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051299195183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist