Individual
MARIA F HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1165 LONDONBERRY LN, GLEN ELLYN, IL 60137-6109
(224) 639-7400
Mailing address
1165 LONDONBERRY LN, GLEN ELLYN, IL 60137-6109
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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