Individual
TAHIRA YASMEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4400 W 95TH ST, PHYSICAINS OFFICE BUILDING SUITE 102, OAK LAWN, IL 60453-2654
(708) 684-6867
(708) 684-6869
Mailing address
4400 W 95TH ST, PHYSICAINS OFFICE BUILDING SUITE 102, OAK LAWN, IL 60453-2654
(708) 684-6867
(708) 684-6869
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036098695
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036098695
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098695
—
IL
01
—
071440
HEALTH ALLIANCE
—
01
—
471635
HEALTHLINK
—
Enumeration date
01/03/2006
Last updated
12/15/2021
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