Individual
DR. MARIYAM YASMEEN HOUSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1300 FRANKLIN AVE STE 110, NORMAL, IL 61761-3799
(309) 268-3558
Mailing address
1300 FRANKLIN AVE, STE 110, NORMAL, IL 61761-3799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02007922A
IN
207Q00000X
Family Medicine Physician
125079101
IL
208000000X
Pediatrics Physician
8579
NE
Other
Enumeration date
06/22/2019
Last updated
02/25/2025
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