Individual
MEMOONA MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1440 WAUKEGAN RD, GLENVIEW, IL 60025-2121
(847) 584-2900
Mailing address
1440 WAUKEGAN RD, GLENVIEW, IL 60025-2121
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011365
IL
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
03/12/2026
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