Provider Demographics
NPI:1063745909
Name:RAJA, HUZEFA (PHARMD)
Entity type:Individual
Prefix:DR
First Name:HUZEFA
Middle Name:
Last Name:RAJA
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 1:6340 AMERICANA DR
Mailing Address - Street 2:#1115
Mailing Address - City:WILLOWBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60527-2255
Mailing Address - Country:US
Mailing Address - Phone:630-337-7860
Mailing Address - Fax:
Practice Address - Street 1:6340 AMERICANA DR
Practice Address - Street 2:#1115
Practice Address - City:WILLOWBROOK
Practice Address - State:IL
Practice Address - Zip Code:60527-2255
Practice Address - Country:US
Practice Address - Phone:630-337-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.290013183500000X, 1835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist