Individual
MEH JABEEN HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
902 S RANDALL RD, C187, ST CHARLES, IL 60174-1554
(630) 835-9954
(630) 377-3705
Mailing address
902 S RANDALL RD, C187, ST CHARLES, IL 60174-1554
(630) 835-9954
(630) 377-3705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036098990
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036098990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098990
—
IL
Enumeration date
11/04/2005
Last updated
10/31/2008
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