Provider Demographics
NPI:1770589319
Name:QURESHI, TARANNUM F (PHARMD)
Entity type:Individual
Prefix:DR
First Name:TARANNUM
Middle Name:F
Last Name:QURESHI
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 1:1309 N WELLS ST
Mailing Address - Street 2:APT 1204
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-8056
Mailing Address - Country:US
Mailing Address - Phone:312-654-0287
Mailing Address - Fax:773-868-8099
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:# 74
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:773-880-4566
Practice Address - Fax:773-868-8099
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL51289013183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist