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NPI Code Detail

MEDICARE: VICTORIA NAJJAR BS

MEDICARE: VICTORIA NAJJAR BS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1174207849
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIA NAJJAR BS
Provider Business Mailing Address
First Line : 3839 W WRIGHTWOOD AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-8125
Country : US
Telephone Number : 773-971-7006
Fax Number :
Provider Business Practice Location Address
First Line : 1803 N CALIFORNIA AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60647-5105
Country : US
Telephone Number : 773-658-9272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2023
Last Update Date : 06/13/2023

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