Individual
DR. ANJUM MUJAHID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(847) 441-5600
(847) 441-7968
Mailing address
405 CENTRAL AVE, NORTHFIELD, IL 60093-3006
(609) 716-7417
Taxonomy
Speciality
Code
Description
License number
State
2084H0002X
Hospice and Palliative Medicine (Psychiatry & Neurology) Physician
25MA08149100
NJ
2084P0800X
Psychiatry Physician
Primary
036156571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64035793
—
KY
01
—
CAQH10478011
CREDENTIALLING SERV IDENT
KY
Enumeration date
02/17/2006
Last updated
12/01/2021
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