Issia E Judeh, PHARMD is a
Pharmacist based in Metamora, Illinois. Issia E Judeh is licensed to practice in Illinois (license number 051.298827) and his current practice location is
117 W Mount Vernon St, Metamora, Illinois. He can be reached at his office (for appointments etc.) via phone at
(309) 367-9701.
NPI number for Issia E Judeh is 1760086771 and his current mailing address is 5505 N Sheridan Rd, Peoria, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760086771.
Healthcare Provider's Profile
Full Name | Issia E Judeh |
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Gender | Male |
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Speciality | Pharmacist |
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Location | 117 W Mount Vernon St, Metamora, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760086771
- Provider Enumeration Date: 11/30/2020
- Last Update Date: 11/30/2020
Medical Identifiers
Medical identifiers for Issia E Judeh such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760086771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
183500000X | Pharmacist | 051.298827 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Issia E Judeh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Issia E Judeh, PHARMD 5505 N Sheridan Rd, Peoria, IL 61614-4263 Ph: (708) 374-4608 | Issia E Judeh, PHARMD 117 W Mount Vernon St, Metamora, IL 61548-7000 Ph: (309) 367-9701 |
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