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Individual

BINA I MIRZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2285 SEQUOIA DR, AURORA, IL 60506-6209
(630) 859-6942
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6042

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
119769
MO
207RN0300X
Nephrology Physician
Primary
036100059
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0451514334
BCBS PROVIDER #
IL
Enumeration date
07/21/2005
Last updated
11/18/2021
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