Healthcare Provider Details

I. General information

NPI: 1720963705
Provider Name (Legal Business Name): NAJLAH IQBAL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2025
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2740 W FOSTER AVE STE 113
CHICAGO IL
60625-3547
US

IV. Provider business mailing address

2740 W FOSTER AVE STE 113
CHICAGO IL
60625-3547
US

V. Phone/Fax

Practice location:
  • Phone: 773-293-5300
  • Fax:
Mailing address:
  • Phone: 773-293-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.105131
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: