Individual
BASIRAT SULAIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 842-1968
(773) 926-0850
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 842-1968
(773) 926-0850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024048558
MO
363LF0000X
Family Nurse Practitioner
Primary
209020415
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2024048558
MO
Other
Enumeration date
11/05/2020
Last updated
12/13/2024
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