Individual
JADIS SD MIRZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3012 W WARREN BLVD APT 1R, CHICAGO, IL 60612-1844
(847) 255-9757
Mailing address
3012 W WARREN BLVD APT 1R, CHICAGO, IL 60612-1844
(847) 255-9757
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
1744R1102X
Research Study Specialist
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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