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

Dessane Komi Tomboouda

Individual provider Pharmacist · NPI 1356910129

Dessane Komi Tomboouda is a Pharmacist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
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Practice location Address checks out

11 E 75th St
Chicago, IL 60619-1601
Phone: (773) 224-1211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051303773 (IL)

Record details

NPI number1356910129
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 24, 2021
Last updated in NPPESJune 24, 2021
Certification dateJune 5, 2021
Mailing address11 E 75th St Chicago, Il, Chicago, IL 60619

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