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NAZNEEN FATIMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
251 E HURON ST, FEINBERG 7-220, CHICAGO, IL 60611-2908
(312) 926-2446
Mailing address
680 N LAKE SHORE DR, SUITE# 1000, CHICAGO, IL 60611-4546
(312) 695-9797

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036137519
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036137519
ILLINOIS LICENSE
IL
Enumeration date
04/13/2011
Last updated
06/03/2016
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