Mohammad, Wasim

Mohammad, Wasim is an sole proprietor health care provider with primary practice located at 9830 S Ridgeland Ave , Chicago Ridge IL 60415-2667. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mohammad, Wasim can be contacted via phone (708) 229-2100.

Contact Information

Primary practice address
9830 S Ridgeland Ave Chicago Ridge IL 60415-2667
Phone: (708) 229-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051304090 Illinois

Profile Details

NPI number 1053072983
LBN Legal business name Mohammad, Wasim
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2022
Last updated Jan 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053072983 NPPES
Illinois Other 051304090 IDFPR

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