Haque, Azra
Haque, Azra is an individual health care provider with primary practice located at 2233 W Division St , Chicago IL 60622-3043. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cytopathology, which is considered as her primary health care specialty. Haque, Azra can be contacted via phone (312) 770-2000.Contact Information
Primary practice address
2233 W Division St
Chicago IL 60622-3043
Phone: (312) 770-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 036046342 | Illinois |
Profile Details
| NPI number | 1669568788 |
|---|---|
| LBN Legal business name | Haque, Azra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 20th, 2024 - about last year |
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 | 1669568788 | NPPES |
| Illinois | MEDICAID | 036046342 | |
| Illinois | Other | 01634127 |
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