Healthcare Provider Details
I. General information
NPI: 1245496561
Provider Name (Legal Business Name): SAMINA HIJAB MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/06/2008
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
801 S WASHINGTON ST
NAPERVILLE IL
60540-7430
US
IV. Provider business mailing address
1062 RIDGEVIEW DR
INVERNESS IL
60010-5338
US
V. Phone/Fax
- Phone: 630-527-3234
- Fax:
- Phone: 847-722-1591
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080P0203X |
| Taxonomy | Pediatric Critical Care Medicine Physician |
| License Number | 036116753 |
| License Number State | IL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 036116753 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: