Individual
SUMBUL LIAQAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5495
Mailing address
2150 W HARRISON ST, CHICAGO, IL 60612-3706
(312) 942-5495
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125082555
IL
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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