Individual
USHASI NAHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-8467
(708) 216-6585
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-6585
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
125078799
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2021
Last updated
06/29/2021
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