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NPI Code Detail

MEDICARE: NAZMEEM SULTANA RN

MEDICARE: NAZMEEM SULTANA RN
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
1163W00000XRegistered Nurse041403970IL

General Provider Information

NPI Number : 1518307172
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAZMEEM SULTANA RN
Provider Business Mailing Address
First Line : 5254 W CULLOM AVE
Second Line : APT 2
City : CHICAGO
State : IL
Zip : 60641-1401
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1542 W DEVON AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60660-1344
Country : US
Telephone Number : 773-465-4604
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2013
Last Update Date : 06/27/2013

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