Provider Demographics
NPI:1801902861
Name:RAKHMAN, KLAVGIA (PHARMD,CGP)
Entity type:Individual
Prefix:
First Name:KLAVGIA
Middle Name:
Last Name:RAKHMAN
Suffix:
Gender:F
Credentials:PHARMD,CGP
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:
Other - Last Name:RAKHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD,CGP
Mailing Address - Street 1:3111 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-2005
Mailing Address - Country:US
Mailing Address - Phone:847-251-8781
Mailing Address - Fax:
Practice Address - Street 1:820 S DAMEN AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3728
Practice Address - Country:US
Practice Address - Phone:312-469-2236
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy