Individual
AFSHAN HUSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(419) 251-4554
(419) 251-6795
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(419) 251-4554
(419) 251-6795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.157749
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036.157749
—
IL
Enumeration date
03/30/2017
Last updated
03/15/2022
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