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NPI Code Detail

MEDICARE: NADIA HAQUE DPT

MEDICARE:   NADIA  HAQUE  DPT
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
12251X0800XOrthopedic Physical Therapist070016849IL
2225100000XPhysical Therapist070016849IL

General Provider Information

NPI Number : 1962791327
Entity Type Code : Individual
Provider Name (Legal Business Name) : NADIA HAQUE DPT
Provider Business Mailing Address
First Line : 205 W WACKER DR
Second Line : SUITE 1020
City : CHICAGO
State : IL
Zip : 60606-1216
Country : US
Telephone Number : 312-640-0329
Fax Number :
Provider Business Practice Location Address
First Line : 8658 S COTTAGE GROVE AVE
Second Line : UNITE 400
City : CHICAGO
State : IL
Zip : 60619-6186
Country : US
Telephone Number : 773-723-1270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2011
Last Update Date : 10/15/2012

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