Individual
WAJIHA IMRAN MASOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1465 COMMERCE DR, ALGONQUIN, IL 60102-5916
(847) 802-7090
(847) 802-7095
Mailing address
1465 COMMERCE DR, ALGONQUIN, IL 60102-5916
(847) 802-7090
(847) 802-7095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007876
IL
Other
Enumeration date
03/20/2020
Last updated
06/05/2022
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