Chalisa, Nuzhat
Chalisa, Nuzhat is an individual health care provider with primary practice located at 25259 Reed Street , Channahon IL 60410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Chalisa, Nuzhat can be contacted via phone (815) 467-0555.Contact Information
Primary practice address
25259 Reed Street
Channahon IL 60410
Phone: (815) 467-0555
Fax: (815) 467-9823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 336-075122 | Illinois |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 036.114141 | Illinois |
Profile Details
| NPI number | 1184686909 |
|---|---|
| LBN Legal business name | Chalisa, Nuzhat |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Mar 17th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184686909 | NPPES |
| Illinois | MEDICAID | 636-114141 |
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