Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IMTIYAZ M GHOGHAWALA, PHARMD

Active

Pharmacist · LAKE BLUFF, IL

Registration Details

NPI Number: 1528335684
Provider Type: Individual
Gender: Male
NPI Issued: Nov 17, 2011 (14.457759824155 yrs)
Last Updated: Nov 17, 2011
License: 051-288964 (IL)

Practice Information

Address: 12700 ROCKLAND RD

LAKE BLUFF, IL, 600441420
Browse IL providers · Browse ZIP 60044
Phone: 8476152088
Primary Specialty: Pharmacist
183500000X

Other Pharmacist Providers in LAKE BLUFF, IL

Name	Credential	NPI
MR. ANTONIO P GORACIO	RPH, MBA	1265511760
KATHLEEN STAPLEY	PHARM.D.	1619094414
NALY CHOI	PHARMD	1275833220
SHUK CHING MABLE NG	—	1902187404
HANH DUC NGUYEN	RPH	1215212741
MR. HOWARD WAYNE SIEGEL	—	1336426337

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.