Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125.074308 | IL |
N | 111NI0900X | Internist | 125.074308 | IL |
Y | 207R00000X | Internist | 125074308 | IL |
Y | 111NI0900X | Internist | 125074308 | IL |
NPI | 1003474776 |
---|---|
Provider Name | Dr. Saba Amajd Munir |
First Address | Chicago, IL 60625-3687 |
Second Address | Chicago, IL 60625-3687 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2019 |
Last Update Date | 11/08/2021 |