Individual
MISS TAQUANA TAUHEEDAH MUHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1111 E 87TH ST, CHICAGO, IL 60673-3909
(773) 768-6400
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016734
IL
Other
Enumeration date
11/01/2017
Last updated
04/04/2022
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