Individual
NIDA IQBAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 DEMPSTER ST FL 1, PARK RIDGE, IL 60068-1110
(847) 318-9300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-026713
IL
363LA2100X
Acute Care Nurse Practitioner
209.026713
IL
Other
Enumeration date
01/24/2023
Last updated
09/08/2023
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