Individual
FATMA HAIDERZAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 739-2697
Mailing address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209013520
IL
Other
Enumeration date
12/18/2015
Last updated
10/05/2016
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