Healthcare Provider Details

I. General information

NPI: 1881535359
Provider Name (Legal Business Name): MUNAZZA NOOR MOHAJIR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 N OAKLEY BLVD FL 2
CHICAGO IL
60622-3507
US

IV. Provider business mailing address

8075 JANES AVE APT 4
WOODRIDGE IL
60517-5324
US

V. Phone/Fax

Practice location:
  • Phone: 312-770-2040
  • Fax: 312-770-3270
Mailing address:
  • Phone: 630-742-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: