Elsdon Medical Pharmacy

LBN: Ibtisam Inc
Elsdon Medical Pharmacy is an health care organization with primary practice located at 4254 W 55Th St Ste 100 , Chicago IL 60632-4642. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Ibtisam Inc can be contacted via phone (773) 582-2660, or through Abdallah, Suha M via phone (773) 582-2660.

Contact Information

Primary practice address
4254 W 55Th St Ste 100 Chicago IL 60632-4642
Phone: (773) 582-2660
Fax: (773) 767-3022
Website:
Map and Directions
Authorized official contact:
Name: Abdallah, Suha M
Phone: (773) 582-2660

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1073210167
LBN Legal business name Ibtisam Inc
DBA Doing business as Elsdon Medical Pharmacy
Authorized official Abdallah, Suha M
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2023
Last updated Mar 2nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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