Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0361167753 | IL |
Y | 2080P0203X | Pediatric Critical Care Doctor | 036116753 | IL |
N | 2080P0203X | Pediatric Critical Care Doctor | 04-45718 | KS |
NPI | 1245496561 |
---|---|
Provider Name | Samina Hijab |
First Address | Inverness, IL 60010-5338 |
Second Address | Hoffman Estates, IL 60169 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/08/2008 |
Last Update Date | 31/01/2022 |