SearchIllinois183500000X

Fidah Othman, PHARMD

NPI 1235734112 · on the registry since 2020

Practice

Address
47 S Locust St
Manteno, IL 60950
Phone
(815) 468-0190
Organisation at this address
Highland Park Cvs, L.L.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-12-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois