Provider Demographics
NPI:1922833144
Name:ABDELQADER, AWNI HAMDI (PHARMD)
Entity type:Individual
Prefix:
First Name:AWNI
Middle Name:HAMDI
Last Name:ABDELQADER
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11981 W 143RD ST
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7218
Mailing Address - Country:US
Mailing Address - Phone:708-403-9221
Mailing Address - Fax:
Practice Address - Street 1:11981 W 143RD ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-7218
Practice Address - Country:US
Practice Address - Phone:708-403-9221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.306550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist