Provider Demographics
NPI:1124302534
Name:JUMA, SABIN (PHARM D)
Entity type:Individual
Prefix:DR
First Name:SABIN
Middle Name:
Last Name:JUMA
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3358 N WESTERN AVE
Mailing Address - Street 2:WALGREENS. ST 00259
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-6213
Mailing Address - Country:US
Mailing Address - Phone:773-327-2111
Mailing Address - Fax:773-327-0859
Practice Address - Street 1:3358 N WESTERN AVE
Practice Address - Street 2:WALGREENS. ST 00259
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-6213
Practice Address - Country:US
Practice Address - Phone:773-327-2111
Practice Address - Fax:773-327-0859
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051-286744183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist