Individual
MEHRUNNISSA TAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1343 MONTCLAIRE CIR, SCHAUMBURG, IL 60173-6180
(847) 971-8877
Mailing address
1343 MONTCLAIRE CIR, SCHAUMBURG, IL 60173-6180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041247760
IL
363L00000X
Nurse Practitioner
Primary
209014361
IL
Other
Enumeration date
01/12/2021
Last updated
01/12/2021
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