Individual
GHOUSIA WAJIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
25 N WINFIELD RD # CVO, WINFIELD, IL 60190-1222
(630) 933-4700
Mailing address
25 N WINFIELD RD, CVO, WINFIELD, IL 60190-1295
(630) 933-2297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35082790
OH
207R00000X
Internal Medicine Physician
57644
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036109542
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2445205
—
OH
Enumeration date
07/20/2006
Last updated
03/17/2018
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