Healthcare Provider Details

I. General information

NPI: 1699040774
Provider Name (Legal Business Name): HUMA ARSHAD M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2012
Last Update Date: 06/05/2023
Certification Date: 06/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 SILVER CROSS BLVD
NEW LENOX IL
60451-9509
US

IV. Provider business mailing address

70 DANADA DR
WHEATON IL
60189-2011
US

V. Phone/Fax

Practice location:
  • Phone: 815-300-1100
  • Fax: 815-300-4848
Mailing address:
  • Phone: 312-636-7924
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036138810
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036138810
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: