Individual
MUSTANSAR RAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
(847) 755-8090
Mailing address
1786 MOON LAKE BLVD STE 104, HOFFMAN ESTATES, IL 60169-1016
(847) 755-8090
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036147264
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036147264
IL
Other
Enumeration date
10/08/2014
Last updated
10/12/2018
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