Individual provider · Type 1 NPI

Mutasem Ali Ahmad

Pharmacist · Braidwood, IL

NPI number 1194644526 Active

Practice location

230 S Comet Dr
Braidwood, IL 60408-2028

Mailing address

7400 W 58th St
Summit, IL 60501-1350

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X051308773 (IL)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1194644526

Mutasem Ali Ahmad's National Provider Identifier is 1194644526, issued on Jul 10, 2026. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Braidwood, IL. The record was last updated on Jul 10, 2026.