Most Relevant Information
Provider Data
| NPI Number: | 1003405390 |
| Provider Name: | MEHRUNNISSA TAJ APN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 041247760 |
Most Important Dates
| Enumeration Date: | 01/12/2021 |
| Last Updated: | 01/12/2021 |
Provider Practice Location
1343 MONTCLAIRE CIR
SCHAUMBURG
IL
601736180
Practice Location Phone/Fax
| Phone: | 8479718877 |
| Fax: |
Provider Mailing Location
1343 MONTCLAIRE CIR
SCHAUMBURG
IL
601736180
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |