Individual
MS. HUMNA FAYYAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2740 W FOSTER AVE STE 113, CHICAGO, IL 60625-3547
(773) 293-5300
(773) 293-5346
Mailing address
2740 W FOSTER AVE STE 113, CHICAGO, IL 60625-3547
(773) 293-5300
(773) 293-5346
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
036167720
IL
2083P0901X
Public Health & General Preventive Medicine Physician
036167720
IL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
036167720
IL
2084P0800X
Psychiatry Physician
LL52802
SC
Other
Enumeration date
07/02/2018
Last updated
07/29/2024
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