Organization
NISHA FATIMA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NISHA FATIMA (PRESIDENT)
(773) 440-5734
Entity
Organization
Contact information
Practice address
2335 W DEVON AVE STE 211, CHICAGO, IL 60659-5501
(773) 440-5734
Mailing address
7034 N KENTON AVE, LINCOLNWOOD, IL 60712-2125
(773) 440-5734
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/12/2020
Last updated
12/12/2020
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