Provider Demographics
NPI:1750986592
Name:SATTAR, AMTUL SABA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AMTUL
Middle Name:SABA
Last Name:SATTAR
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 TUSCAN CT
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1364
Mailing Address - Country:US
Mailing Address - Phone:631-707-5685
Mailing Address - Fax:
Practice Address - Street 1:1700 E RAND RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4379
Practice Address - Country:US
Practice Address - Phone:847-222-1750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051302560183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist