Individual
MS. LAMIJA HUBJER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MMS
Contact information
Practice address
5219 W MADISON ST STE 4, CHICAGO, IL 60644-4153
(773) 378-4823
(773) 378-9401
Mailing address
5219 W MADISON ST STE 4, CHICAGO, IL 60644-4153
(773) 378-4823
(773) 378-9401
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003523
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003523
LICENSE
IL
Enumeration date
09/01/2009
Last updated
05/10/2012
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