Individual
MADEEHA BANU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3227
Mailing address
6123 N RICHMOND ST APT 1, CHICAGO, IL 60659-3163
(404) 494-6132
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.161381
IL
207RP1001X
Pulmonary Disease Physician
036.161381
IL
Other
Enumeration date
07/04/2019
Last updated
12/06/2024
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