Individual
ALAA ABUBAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10825 S 71ST CT, WORTH, IL 60482-1401
(708) 543-9257
Mailing address
10825 S 71ST CT, WORTH, IL 60482-1401
(708) 543-9257
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079272498
—
IL
Enumeration date
10/05/2018
Last updated
10/05/2018
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