Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT204991 | PA |
N | 111NI0900X | Internist | MT204991 | PA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036.149558 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 036149558 | IL |
NPI | 1417396185 |
---|---|
Provider Name | Dr. Yasmin Raza |
First Address | Chicago, IL 60611-3197 |
Second Address | Chicago, IL 60611-2915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2013 |
Last Update Date | 24/09/2020 |