Ibrahim, Amanda

Ibrahim, Amanda is an individual health care provider with primary practice located at 16760 W Division St , Lockport IL 60441-4601. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Ibrahim, Amanda can be contacted via phone (815) 834-4290.

Contact Information

Primary practice address
16760 W Division St Lockport IL 60441-4601
Phone: (815) 834-4290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.294869 Illinois

Profile Details

NPI number 1134716756
LBN Legal business name Ibrahim, Amanda
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2020
Last updated Dec 29th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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