Healthcare Provider Details

I. General information

NPI: 1396651774
Provider Name (Legal Business Name): MUBEEN HUSAIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 MIDWEST RD STE 111
OAK BROOK IL
60523-8206
US

IV. Provider business mailing address

26W121 MACARTHUR AVE
CAROL STREAM IL
60188-4506
US

V. Phone/Fax

Practice location:
  • Phone: 888-632-1240
  • Fax:
Mailing address:
  • Phone: 215-300-0715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: