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ELSDON MEDICAL PHARMACY
NPI 1184625410
Pharmacy - Community/Retail Pharmacy in Chicago, IL

Active since August 09, 2005
4254 W 55TH ST STE 101, 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 02, 2026.

Record update history: Mar 2, 2023, Feb 16, 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 1184625410) is a healthcare organization registered as a community/retail pharmacy in Chicago, Illinois and active in the NPI registry since August 2005. The organization lists Suha Abdallah, Owner, as its authorized official.

NPPES Registry Identity

NPI1184625410
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameIBTISAM INC
Location Address4254 W 55TH ST STE 101Chicago, IL 60632-4642
Mailing Address4254 W 55th StChicago, IL 60632-4642 · (773) 582-2660 · Fax (773) 767-3022
Phone(773) 582-2660
Fax(773) 767-3022
Organization SubpartNo
Authorized OfficialSuha AbdallahOwner · (773) 582-2660
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1184625410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
4254 W 55TH ST STE 101, Chicago, IL 60632
Open in Google Maps ↗

Other Names 1

Doing Business AsElsdon Medical Pharmacy

Accepted Insurance

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

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Elsdon Medical Pharmacy carries, from the Medicare DMEPOS supplier directory.

Elsdon Medical Pharmacy

DMEPOS supplier · Chicago, ILOperated by Ibtisam Inc
⋮

Does not accept Medicare assignment

Elsdon Medical Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20613383
Medicare Participant SinceOctober 18, 2001
Supplier Location4254 W 55th StChicago, IL 60632
Phone(773) 582-2660
Supplier Specialties
Pharmacy

Medicare Product Categories

Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Canes and/or Crutches
Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
Walkers
Standard Walkers, Wheeled Walkers, Folding Walker
Nebulizer Equipment and/or Supplies
Nebulizers, Atomizers, Filters
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

DR. MAICE KUTOM PHARMD
Pharmacist
4254 W 55TH ST STE 101
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 1184625410. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Elsdon Medical Pharmacy.

Where is Ibtisam Inc located?

Ibtisam Inc is located at 4254 W 55th St Ste 101, 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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Ibtisam Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Elsdon Medical Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Ibtisam Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 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.