Mirza, Sanjida

Mirza, Sanjida is an individual health care provider with primary practice located at 337 E 35Th St , Chicago IL 60616. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Mirza, Sanjida can be contacted via phone (312) 842-3547.

Contact Information

Primary practice address
337 E 35Th St Chicago IL 60616
Phone: (312) 842-3547
Fax: (312) 842-1878
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 036066426 Illinois

Profile Details

NPI number 1174564199
LBN Legal business name Mirza, Sanjida
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Dec 30th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174564199 NPPES
Illinois Other 1634708 BCBS
Illinois MEDICAID 036066426 BCBS
Illinois Other P00166625 BCBS

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