Individual
MRS. HAYFAA I. ALDASOQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNM
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-7760
Mailing address
1740 WEST TAYLOR STREET, MEDICAL STAFF OFFICE, CHICAGO, IL 60608
(312) 355-2759
(312) 413-9740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041286178
IL
363L00000X
Nurse Practitioner
209007611
IL
367A00000X
Advanced Practice Midwife
Primary
209.007634
IL
Other
Enumeration date
08/06/2009
Last updated
03/10/2020
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