Provider Demographics
NPI:1437940913
Name:NASEEM, MAHIRA (RPH)
Entity type:Individual
Prefix:
First Name:MAHIRA
Middle Name:
Last Name:NASEEM
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2284 CENTURY POINT LN APT B
Mailing Address - Street 2:
Mailing Address - City:GLENDALE HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60139-1682
Mailing Address - Country:US
Mailing Address - Phone:786-327-9801
Mailing Address - Fax:
Practice Address - Street 1:2284 CENTURY POINT LN APT B
Practice Address - Street 2:
Practice Address - City:GLENDALE HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60139-1682
Practice Address - Country:US
Practice Address - Phone:786-327-9801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.305869183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes183500000XPharmacy Service ProvidersPharmacistGroup - Single Specialty