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JOSEPH ZILLUR RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
2100 MANCHESTER RD STE 1510, WHEATON, IL 60187-4561
(630) 653-1717
Mailing address
2100 MANCHESTER RD STE 1510, WHEATON, IL 60187-4561
(630) 653-1717

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.017376
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209017376
APN LICENSE NUMBER
IL
Enumeration date
03/22/2018
Last updated
03/22/2018
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