Individual
MRS. SHAHIDA ZIA REHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6449 S PULASKI RD, SUITE 108, CHICAGO, IL 60629-5148
(773) 306-1259
(773) 306-1259
Mailing address
6449 S PULASKI RD, SUITE 108, CHICAGO, IL 60629-5148
(773) 306-1259
(773) 306-1259
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
14D2118590
IL
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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