Doctor Name: | MAGDALENA DAOUD |
NPI Number: | 1205280674 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 209014051 |
Business Practice Address: | 8580 W Foster Ave Unit 507 Norridge, IL - 607062739 |
Business Phone Number: | 8478940953 |
Business Fax Number: | |
Mailing Address: | 8580 W Foster Ave Unit 507, NORRIDGE |
State: | IL |
Postal Code: | 607062739 |
Phone Number: | 8478940953 |
Fax Number: | |
NPI Enumeration Date: | 04/21/2016 |
NPI Last Update Date: | 04/21/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 209014051 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |