Individual
MS. ANUM HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
779 W ADAMS ST, CHICAGO, IL 60661-3509
(312) 382-8308
Mailing address
17W750 LOWELL LN, VILLA PARK, IL 60181-3726
(630) 825-8870
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006392
IL
Other
Enumeration date
12/20/2017
Last updated
02/10/2023
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