Individual
HUMA ABBAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4100 HEALTHWAY DR, AURORA, IL 60504-4163
(630) 851-3105
Mailing address
2357 SEQUOIA DR, AURORA, IL 60506-6222
(630) 859-6800
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.121816
IL
2084P0804X
Child & Adolescent Psychiatry Physician
036.121816
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121816
—
IL
Enumeration date
07/04/2008
Last updated
11/18/2021
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