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Individual

TANVIR MUSHTAQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
303 E ARMY TRAIL RD STE 111, BLOOMINGDALE, IL 60108-2140
(630) 284-3832
Mailing address
6N736 MEDINAH RD, MEDINAH, IL 60157-1044
(630) 284-3832

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
036133420
IL
174400000X
Specialist
336094606
IL
2084P0800X
Psychiatry Physician
Primary
036133420
IL

Other

Enumeration date
11/04/2013
Last updated
04/02/2026
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