Most Relevant Information
Provider Data
| NPI Number: | 1003499138 |
| Provider Name: | MARIAM QURESHI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/05/2021 |
| Last Updated: | 05/05/2021 |
Provider Practice Location
4646 N MARINE DR
CHICAGO
IL
606405759
Practice Location Phone/Fax
| Phone: | 7735645738 |
| Fax: |
Provider Mailing Location
4646 N MARINE DR
CHICAGO
IL
606405759
Provider Mailing Phone/Fax
| Phone: | 7735645738 |
| Fax: |