Burhani, Nafisa D

Burhani, Nafisa D is an individual health care provider with primary practice located at 2614 W Jefferson St , Joliet IL 60435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Burhani, Nafisa D can be contacted via phone (815) 725-1355.

Contact Information

Primary practice address
2614 W Jefferson St Joliet IL 60435
Phone: (815) 725-1355
Fax: (815) 725-9857
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036089567 Illinois

Profile Details

NPI number 1851386460
LBN Legal business name Burhani, Nafisa D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Aug 4th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851386460 NPPES
Illinois Other L82399 MEDICARE INDIV ID# FOR GROUP 336140
Illinois Other L98070 MEDICARE INDIV ID# FOR GROUP 336140
Illinois MEDICAID 036089567 MEDICARE INDIV ID# FOR GROUP 336140
Illinois Other 830004996 MEDICARE INDIV ID# FOR GROUP 336140

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