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Individual

DR. TARANNUM MUJTABA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
4355 MONTGOMERY ROAD, NAPERVILLE, IL 60564
(630) 236-8300
Mailing address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 566-2233
(630) 566-3429

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
036.152572
IL
2085R0202X
Diagnostic Radiology Physician
Primary
036152572
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
08/09/2016
Last updated
12/03/2025
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