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Sanjida Mirza, MD
General Practice Physician in Chicago, Illinois
NPI 1174564199

Sanjida Mirza is a General Practice Physician based in West Mont, IL. Sanjida Mirza practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Sanjida Mirza is 1174564199 and holds a License No. 036066426 (Illinois).

The current practice location address for Sanjida Mirza is 337 E 35Th St, Chicago, IL and can be reached out via phone at 312-842-3547 and via fax at 312-842-1878. You can also correspond with Sanjida Mirza through the mailing address at 849 OAK WOOD DR, WEST MONT, IL - 60559 (mailing address contact number: ).

Location: 337 E 35Th St, Chicago, IL, 60559
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Provider Profile Details
NPI Number
1174564199
Provider Name
Sanjida Mirza
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
337 E 35Th St, Chicago, IL, 60559
Phone Number
312-842-3547
Fax Number
312-842-1878
Provider Enumeration Date
06/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1634708 01 IL BCBS
036066426 05 IL
P00166625 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
337 E 35Th St
City
State
Zip
60616
Phone Number
312-842-3547
Fax Number
312-842-1878
person
Provider Business Mailing Address Details
Address
337 E 35Th St
City
State
Zip
60616
Phone Number
312-842-3547
Fax Number
312-842-1878
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036066426 (Illinois)
Definition
Definition to come...
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