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ELSDON MEDICAL PHARMACY
NPI 1073210167
Pharmacy - Long Term Care Pharmacy in Chicago, IL

Active since February 09, 2023
4254 W 55TH ST STE 100, CHICAGO, IL 60632(773) 582-2660(773) 767-3022 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Feb 9, 2023 (2 updates tracked since 2023).

About Elsdon Medical Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELSDON MEDICAL PHARMACY (NPI 1073210167) is a healthcare organization registered as a long term care pharmacy in Chicago, Illinois and active in the NPI registry since February 2023. The organization lists Suha M Abdallah, Owner, as its authorized official.

NPPES Registry Identity

NPI1073210167
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameIBTISAM INC
Location Address4254 W 55TH ST STE 100Chicago, IL 60632-4642
Mailing Address4254 W 55th St Ste 100Chicago, IL 60632-4642 · (773) 582-2660 · Fax (773) 767-3022
Phone(773) 582-2660
Fax(773) 767-3022
Organization SubpartNo
Authorized OfficialSuha M AbdallahOwner · (773) 582-2660
Enumeration DateFebruary 9, 2023
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1073210167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
4254 W 55TH ST STE 100, Chicago, IL 60632
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Other Names 1

Doing Business AsElsdon Medical Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELSDON PHARMACY, INC.
Pharmacy (Community/Retail Pharmacy)
4254 W 55TH ST STE 100
CHICAGO, IL 60632
Cook County (773) 582-2660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ibtisam Inc's NPI number?

The NPI number for Ibtisam Inc is 1073210167. It was assigned to this organization in the NPPES registry on February 9, 2023. The provider is doing business as Elsdon Medical Pharmacy.

Where is Ibtisam Inc located?

Ibtisam Inc is located at 4254 W 55th St Ste 100, Chicago, IL 60632. The listed phone number is (773) 582-2660.

What is Ibtisam Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Ibtisam Inc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 32 other insurers list Ibtisam Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ibtisam Inc was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.