Provider Demographics
NPI:1063001741
Name:SULEMAN, SADAF J (RPH)
Entity type:Individual
Prefix:
First Name:SADAF
Middle Name:J
Last Name:SULEMAN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:SADAF
Other - Middle Name:J
Other - Last Name:SULEMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:825 VALLEY STREAM DR APT A
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-7408
Mailing Address - Country:US
Mailing Address - Phone:224-532-1124
Mailing Address - Fax:
Practice Address - Street 1:1099 W ARMY TRAIL RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-3001
Practice Address - Country:US
Practice Address - Phone:630-372-3120
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-15
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.303728183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist