Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Custom Med, LLC

Organization Pharmacist · NPI 1700636271

Custom Med, LLC is a Pharmacist in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3156 N Clark
Chicago, IL 60657
Phone: (773) 568-8340
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X
Pharmacist Taxonomy 183500000X

Record details

NPI number1700636271
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCustom Med LLC
Authorized official Inas Dahabra — Member, President · (708) 289-6721
Other names Prime Plus Lakeview
NPI enumeratedMarch 26, 2024
Last updated in NPPESOctober 2, 2024
Certification dateOctober 2, 2024
Mailing address3156 N. Clark, Chicago, IL 60657

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