Individual
DR. HUMA TAZEEM MULK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
932 RICHARD RD, DYER, IN 46311-1936
(708) 982-1544
(219) 440-7312
Mailing address
932 RICHARD RD, DYER, IN 46311-1936
(708) 982-1544
(219) 440-7312
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01073823A
IN
207R00000X
Internal Medicine Physician
036089606
IL
208M00000X
Hospitalist Physician
01073823A
IN
Other
Enumeration date
03/02/2007
Last updated
04/17/2025
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