Doctor Name: | THARANUM ZEHRA |
NPI Number: | 1205013588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 036120991 |
Business Practice Address: | 1901 W Harrison St Chicago, IL - 606123714 |
Business Phone Number: | 3128647590 |
Business Fax Number: | |
Mailing Address: | 1147 E Wilson Ave, LOMBARD |
State: | IL |
Postal Code: | 601483763 |
Phone Number: | 8477214678 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2008 |
NPI Last Update Date: | 01/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036120991 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |