Active NPIIndividual providerSole proprietor

Wisam Abdallah

Pharmacist in Chicago, Illinois

NPI Number1801676804
Practice location
1629 S Prairie Ave Unit 2104, Chicago, IL 60616-5065
Fax
—
Last updated
October 5, 2023

Wisam Abdallah is a Pharmacist based in Chicago, IL. The NPI number for Wisam Abdallah is 1801676804 and holds license No. 051304082 (IL). The current practice location address is 1629 S Prairie Ave Unit 2104, Chicago, IL 60616-5065 and the office can be reached by phone at 708-837-1233. The NPI was assigned on October 5, 2023 and the record was last updated in NPPES on October 5, 2023.

●Provider Profile Details

NPI Number
1801676804
Provider Name
Wisam Abdallah
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Enumeration Date
October 5, 2023
Last Update Date
October 5, 2023
Certification Date
October 5, 2023
NPI Status
Active

◉Business Practice Location Address

Address
1629 S Prairie Ave Unit 2104
Chicago, IL 60616-5065
ZIP
60616-5065
Country
US
Phone Number
708-837-1233

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✉Business Mailing Address

Address
11164 Southwest Hwy
Palos Hills, IL 60465-2709
City
Palos Hills
State
IL
ZIP
60465-2709

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Pharmacist183500000XYes051304082IL

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Wisam Abdallah?

The NPI number of Wisam Abdallah is 1801676804. It was assigned on October 5, 2023 and is currently active in the NPPES registry.

What is the specialty of Wisam Abdallah?

Wisam Abdallah is registered under the primary taxonomy Pharmacist (code 183500000X) and holds license No. 051304082 (IL).

Where does Wisam Abdallah practice?

The practice location is 1629 S Prairie Ave Unit 2104, Chicago, IL 60616-5065. The office can be reached at 708-837-1233 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801676804 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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