Individual
MAHUM IJAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
531 W DEMING PL APT 101, CHICAGO, IL 60614-5905
(210) 478-0669
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011058
IL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/20/2024
Last updated
08/19/2025
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